70 FR 149 pgs. 45026-45127 - Medicare Program; Prospective Payment System andConsolidated Billing for Skilled Nursing Facilities for FY 2006
Type: RULEVolume: 70Number: 149Pages: 45026 - 45127
Docket number: [CMS-1282-F]
FR document: [FR Doc. 05-15221 Filed 7-28-05; 4:00 pm]
Agency: Health and Human Services Department
Sub Agency: Centers for Medicare Medicaid Services
Official PDF Version: PDF Version
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare Medicaid Services
42 CFR Parts 409, 411, 424, and 489
[CMS-1282-F]
RIN 0938-AN65
Medicare Program; Prospective Payment System andConsolidated Billing for Skilled Nursing Facilities for FY 2006
AGENCY:
Centers for Medicare Medicaid Services (CMS),HHS.
ACTION:
Final rule.
SUMMARY:
In this final rule we update the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for fiscal year (FY) 2006. Annual updates to the PPS rates are required by section 1888(e) of the Social Security Act (the Act), as amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA), the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA), and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), relating to Medicare payments and consolidated billing for SNFs. This final rule also responds to public comments submitted on the proposed rule published on May 19, 2005(70 FR 29070), and promulgates provisions set forth in that proposed rule, along with several additional technical revisions to the regulations.
DATES:
Effective Date: This final rule becomes effective on October 1, 2005.
FOR FURTHER INFORMATION CONTACT:
Ellen Gay, (410) 786-4528 (for information related to the case-mix classification methodology, and for information related to swing-bed providers).
Jeanette Kranacs, (410) 786-9385 (for information related to the development of the payment rates, and for information related to the wage index).
Bill Ullman, (410) 786-5667 (for information related to coverage requirements, level of care determinations, consolidated billing, and general information).
SUPPLEMENTARY INFORMATION:
To assist readers in referencing sections contained in this document, we are providing the following Table of Contents.
Table of Contents
I. Background
A. Current System for Payment of SNF Services Under Part A of the Medicare Program
B. Requirements of the Balanced Budget Act of 1997 (BBA) for Updating the SNF PPS
C. The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA)
D. The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA)
E. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA)
F. General Overview of the SNF PPS
1. Payment Provisions-Federal Rates
2. Payment Provisions-Initial Transition Period
G. Use of the SNF Market Basket Index
II. Summary of the Provisions of the FY 2006 Proposed Rule
III. Analysis of and Response to Public Comments on the FY 2006 Proposed Rule
A. General Comments on the FY 2006 Proposed Rule
1. Public Comment Schedule for the FY 2006 Proposed Rule
B. Update of Federal Payment Rates Under the SNF PPS
1. Costs and Services Covered by the Federal Rates
2. Methodology Used for the Calculation of the Federal Rates
C. Case-Mix Adjustment and Other Clinical Issues
1. Proposed Refinements to the RUG-III Case-Mix Classification System
2. Proposed Increases to the RUG-III Case-Mix Weight Values
3. Implementation Issues
4. Additional Clinical and Related Issues
a. Proposed Changes to the MDS Coding Requirements ("Look-Back" Period, 5-day Grace Periods for PPS MDS Assessments, and Projection of Anticipated Therapy Services during the 5-day PPS Assessment (Section T))
b. Long-Term Payment and Quality Incentive Proposals
c. Proposal to Clarify "Direct" and "Indirect" Employment Relationships for Nurse Practitioners and Clinical Nurse Specialists
d. Completion of Other Medicare Required Assessments (OMRAs)
e. Concurrent Therapy
5. Case-Mix Adjusted Federal Rates and Associated Indexes
D. Wage Index Adjustment to Federal Rates
1. Proposal to Incorporate the Revised OMB Definitions for Metropolitan Statistical Areas and Combined Statistical Areas
2. Determining the Labor-Related Portion of the SNF PPS Rate
3. Calculating the Budget Neutrality Factor
E. Updates to the Federal Rates
F. Relationship of Case-Mix Classification System to Existing SNF Level-of-Care Criteria
1. Proposals on the 9 New Rehabilitation Plus Extensive Services Groups
G. Example of Computation of Adjusted PPS Rates and SNF Payment
H. SNF Market Basket Index
1. Background
2. Use of the SNF Market Basket Percentage
3. Market Basket Forecast Error Adjustment
4. Federal Rate Update Factor
I. Consolidated Billing
J. Application of the SNF PPS to SNF Services Furnished by Swing-Bed Hospitals
K. Qualifying Three-Day Inpatient Hospital Stay Requirement
IV. Provisions of the Final Rule
V. Waiver of Proposed Rulemaking
VI. Collection of Information Requirements
VII. Regulatory Impact Analysis
A. Overall Impact
B. Anticipated Effects
C. Accounting Statement
D. Alternatives Considered Regulation Text
VIII. Addendum
In addition, because of the many terms to which we refer by abbreviation in this final rule, we are listing these abbreviations and their corresponding terms in alphabetical order below:
ADLActivity of Daily Living
ARDAssessment Reference Date
BBABalanced Budget Act of 1997, Pub. L. 105-33
BBRAMedicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, Pub. L. 106-113
BEA(U.S. Department of Commerce) Bureau of Economic Analysis
BIPAMedicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, Pub. L. 106-554
CAHCritical Access Hospital
CBSACore-Based Statistical Area
CFRCode of Federal Regulations
CMSCenters for Medicare Medicaid Services
CMSAConsolidated Metropolitan Statistical Area
CPT(Physicians') Current Procedural Terminology
DRGDiagnosis Related Group
FIFiscal Intermediary
FRFederal Register
FYFiscal Year
GAOGovernment Accountability Office
HCPCSHealthcare Common Procedure Coding System
ICD-9-CMInternational Classification of Diseases, Ninth Edition, Clinical Modification
IFCInterim Final Rule With Comment Period
MDSMinimum Data Set
MEDPARMedicare Provider Analysis and Review File
MMAMedicare Prescription Drug, Improvement, and Modernization Act of 2003, Pub. L. 108-173
MSAMetropolitan Statistical Area
NECMANew England County Metropolitan Area
OIGOffice of Inspector General
OMRA Other Medicare Required Assessment
PMSAPrimary Metropolitan Statistical Area
PPIProducer Price Index
PPSProspective Payment System
PRMProvider Reimbursement Manual
RAIResident Assessment Instrument
RAPResident Assessment Protocol
RAVENResident Assessment Validation Entry
RFARegulatory Flexibility Act, Pub. L. 96-354
RIARegulatory Impact Analysis
RUGResource Utilization Group
SCHIP State Children's Health Insurance Program
SNFSkilled Nursing Facility
STMStaff Time Measurement
UMRAUnfunded Mandates Reform Act, Pub. L. 104-4
I. Background
On May 19, 2005, we published a proposed rule in the Federal Register (70 FR 29070, hereafter referred to as the FY 2006 SNF PPS proposed rule), setting forth the proposed updates to the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs), for FY 2006. Annual updates to the PPS rates are required by section 1888(e) of the Social Security Act (the Act), as amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA, Pub. L. 106-113), the Medicare, Medicaid, and SCHIP Benefits Improvement and rotection Act of 2000 (BIPA, Pub. L. 106-554), and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA, Pub. L. 100-173), relating to Medicare payments and consolidated billing for SNFs. In the FY 2006 SNF PPS proposed rule, we invited public comments on a number of proposed revisions and technical corrections to the regulations.
A. Current System for Payment of SNF Services Under Part A of the Medicare Program
Section 4432 of the Balanced Budget Act of 1997 (BBA, Pub. L. 105-33) amended section 1888 of the Act to provide for the implementation of a per diem PPS for SNFs, covering all costs (routine, ancillary, and capital-related) of covered SNF services furnished to beneficiaries under Part A of the Medicare program, effective for cost reporting periods beginning on or after July 1, 1998. We are updating the per diem payment rates for SNFs for FY 2006. Major elements of the SNF PPS include:
• Rates. Per diem Federal rates were established for urban and rural areas using allowable costs from FY 1995 cost reports. These rates also included an estimate of the cost of services that, before July 1, 1998, were paid under Part B but furnished to Medicare beneficiaries in a SNF during a Part A covered stay. The rates were adjusted annually using a SNF market basket index. Rates were case-mix adjusted using a classification system (Resource Utilization Groups, version III (RUG-III)) based on beneficiary assessments (using the Minimum Data Set (MDS) version 2.0) (In section III.C of this final rule, we discuss refinements to the case-mix classification system). The rates were also adjusted by the hospital wage index to account for geographic variation in wages. (In section III.D of this final rule, we discuss the wage index adjustment in detail.) Correction notices were published in the Federal Register on October 7, 2004 (69 FR 60158) and on December 30, 2004 (69 FR 78445) that announced corrections to several of the wage factors. Additionally, as noted in the July 30, 2004 update notice (69 FR 45775), section 101 of BBRA and certain sections of BIPA also affect the payment rate.
• Transition. The SNF PPS included an initial 3-year, phased transition that blended a facility-specific payment rate with the Federal case-mix adjusted rate. For each cost reporting period after a facility migrated to the new system, the facility-specific portion of the blend decreased and the Federal portion increased in 25 percentage point increments. For most facilities, the facility-specific rate was based on allowable costs from FY 1995; however, since the last year of the transition was FY 2001, all facilities were paid at the full Federal rate by the following fiscal year (FY 2002). Therefore, as discussed in section I.F.2 of this final rule, we are no longer including adjustment factors related to facility-specific rates for the coming fiscal year.
• Coverage. The establishment of the SNF PPS did not change Medicare's fundamental requirements for SNF coverage. However, because the RUG-III classification is based, in part, on the beneficiary's need for skilled nursing care and therapy, we have attempted, where possible, to coordinate claims review procedures involving level of care determinations with the outputs of beneficiary assessment and RUG-III classifying activities. We discuss this coordination in greater detail in section III.F of this final rule. Moreover, the Part A SNF benefit has not only level of care requirements, but also a set of technical, or "posthospital" requirements as well. In section III.K of this final rule, we discuss one aspect of the technical requirement for a qualifying prior inpatient hospital stay of at least 3 consecutive days, on which we invited public comment in the FY 2006 SNF PPS proposed rule.
• Consolidated Billing. The SNF PPS includes a consolidated billing provision that requires a SNF to submit consolidated Medicare claims for almost all of the services that the resident receives during the course of a covered Part A stay. (In addition, this provision places with the SNF the Medicare billing responsibility for physical and occupational therapy, and speech-language pathology services that the resident receives during a noncovered stay.) The statute excludes from the consolidated billing provision a few services-primarily those of physicians and certain other types of practitioners-which remain separately billable to Part B by the outside entity that furnishes them. We discuss this provision in greater detail in section III.I of this final rule.
• Application of the SNF PPS to SNF services furnished by swing-bed hospitals. Section 1883 of the Act permits certain small, rural hospitals to enter into a Medicare swing-bed agreement, under which the hospital can use its beds to provide either acute or SNF care, as needed. For critical access hospitals (CAHs), Part A pays on a reasonable cost basis for SNF services furnished under a swing-bed agreement. However, in accordance with section 1888(e)(7) of the Act, these services furnished by non-CAH rural hospitals are paid under the SNF PPS, effective with cost reporting periods beginning on or after July 1, 2002. A more detailed discussion of this provision appears in section III.J of this final rule.
• Technical corrections. We are also taking this opportunity to make certain technical corrections in the text of the regulations, as discussed in greater detail in section IV. of this final rule.
B. Requirements of the Balanced Budget Act of 1997 (BBA) for Updating the SNF PPS
Section 1888(e)(4)(H) of the Act requires that we publish in the Federal Register:
1. The unadjusted Federal per diem rates to be applied to days of covered SNF services furnished during the FY.
2. The case-mix classification system to be applied with respect to these services during the FY.
3. The factors to be applied in making the area wage adjustment with respect to these services.
In the July 30, 1999 final rule (64 FR 41670), we indicated that we would announce any changes to the guidelines for Medicare level of care determinations related to modifications in the RUG-III classification structure (see section III.F of this final rule).
Along with a number of other revisions discussed later in this preamble, this final rule provides the annual updates to the Federal rates as mandated by the Act.
C. The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 (BBRA)
There were several provisions in the BBRA that resulted in adjustments to the SNF PPS. These provisions were described in detail in the final rule that we published in the Federal Register on July 31, 2000(65 FR 46770). In particular, sections 101(a) and (b) of the BBRA provided for a temporary 20 percent increase in the per diem adjusted payment rates for 15 specified RUG-III groups (SE3, SE2, SE1, SSC, SSB, SSA, CC2, CC1, CB2,CB1, CA2, CA1, RHC, RMC, and RMB). Under section 101(c) of the BBRA, this temporary increase remains in effect until the later of October 1, 2000, or the implementation of case-mix refinements in the PPS. (We discuss refinements to the case-mix classification system in section III.C of this final rule.) In addition, section 101(d) of the BBRA included a 4 percent across-the-board increase in the adjusted Federal per diem payment rates each year for FYs 2001 and 2002, exclusive of the 20 percent increase.
We included further information on all of the provisions of the BBRA that affect the SNF PPS in Program Memoranda A-99-53 and A-99-61 (December 1999), and Program Memorandus AB-00-18 (March 2000). In addition, for swing-bed hospitals with more than 49 (but less than 100) beds, section 408 of the BBRA provided for the repeal of certain statutory restrictions on length of stay and aggregate payment for patient days, effective with the end of the SNF PPS transition period described in section 1888(e)(2)(E) of the Act. In the July 31, 2001 final rule (66 FR 39562), we made conforming changes to the regulations in § 413.114(d), effective for services furnished in cost reporting periods beginning on or after July 1, 2002, to reflect section 408 of the BBRA.
D. The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA)
The BIPA included several provisions that resulted in adjustments to the PPS for SNFs. These provisions were described in detail in the final rule that we published in the Federal Register on July 31, 2001 (66 FR 39562), as follows:
• Section 203 of the BIPA exempted critical access hospital (CAH) swing-beds from the SNF PPS; we included further information on this provision in Program MemorandumA-01-09 (January 16, 2001).
• Section 311 of the BIPA eliminated the 1 percent reduction in the SNF market basket that the statutory update formula had previously specified for FY 2001, and changed the 1 percent reduction specified for FYs 2002 and 2003 to a 0.5 percent reduction. This section also required us to conduct a study of alternative case-mix classification systems for the SNF PPS, and to submit a report to the Congress on the results of the study.
• Section 312 of the BIPA provided for a temporary 16.66 percent increase in the nursing component of the case-mix adjusted Federal rate for services furnished on or after April 1, 2001, and before October 1, 2002. This section also required the Government Accountability Office (GAO) to conduct an audit of SNF nursing staff ratios and submit a report to the Congress on whether the temporary increase in the nursing component should be continued. GAO issued this report (GAO-03-176) in November 2002.
• Section 313 of the BIPA repealed the consolidated billing requirement for services (other than physical and occupational therapy, and speech-language pathology services) furnished to SNF residents during noncovered stays, effective January 1, 2001.
• Section 314 of the BIPA adjusted the payment rates for all of the 14 rehabilitation RUGs (RUC, RUB, RUA, RVC, RVB,RVA, RHC, RHB, RHA, RMC, RMB, RMA, RLB, and RLA), in order to correct an anomaly under which the existing payment rates for three particular rehabilitation RUGs-RHC, RMC, and RMB-were higher than the rates for some other, more intensive rehabilitation RUGs. Under the BIPA adjustment, the temporary increase that sections 101(a) and (b) of the BBRA had applied to the RHC, RMC, and RMB rehabilitation RUGs was revised from 20 percent to 6.7 percent, and the BIPA adjustment also applied this temporary 6.7 percent increase to each of the other 11 rehabilitation RUGs. Under this provision, the temporary increase remained at 20 percent for each of the 12 non-rehabilitation RUGs specified in section 101(b) of the BBRA (SE3, SE2, SE1,SSC, SSB, SSA, CC2, CC1, CB2, CB1, CA2, and CA1).
• Section 315 of the BIPA authorized us to establish a geographic reclassification procedure that is specific to SNFs, but only after collecting the data necessary to establish a SNF wage index that is based on wage data from nursing homes.
We included further information on several of these provisions in Program Memorandum A-01-08(January 16, 2001).
E. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA)
A provision of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) resulted in a further adjustment to the PPS for SNFs. Specifically, section 511 of the MMA amended paragraph (12) of section 1888(e) of the Act to provide for a temporary 128 percent increase in the PPS per diem payment for any SNF resident with Acquired Immune Deficiency Syndrome (AIDS), effective with services furnished on or after October 1, 2004. As discussed in Transmittal No. 160 (Change Request No. 3291, April 30, 2004, available online at http://www.cms.hhs.gov/manuals/transmittals/comm_date_dsc.asp ), this add-on applies to claims with diagnosis code 042. Like the temporary add-on payments created by section 101(a) of the BBRA (as amended by section 314 of the BIPA), this special AIDS add-on was not intended to remain in effect indefinitely. As amended by section 511 of the MMA, section 1888(e)(12)(B) of the Act specifies that this temporary increase for patients with AIDS is to remain in effect only until "* * * such date as the Secretary certifies that there is an appropriate adjustment in the case mix * * * to compensate for the increased costs associated with [such] residents * * *." As discussed in the FY 2006 SNF PPS proposed rule (70 FR 29080), we are not addressing the issue of such certification at this time and, accordingly, the temporary add-on payments created by section 511 of the MMA will remain in effect during FY 2006.
The law further provided that the 128 percent increase in payment under the AIDS add-on is to be "* * * determined without regard to any increase" under section 101 of the BBRA (as amended by section 314 of the BIPA). As explained in the MMA Conference report, this means that if a resident qualifies for the temporary 128 percent increase in payment under the special AIDS add-on, "the BBRA temporary RUG add-on does not apply in this case * * *." (H.R. Conf. Rep. No. 108-391 at 662).
In addition, section 410 of the MMA contained a provision that affects the SNF consolidated billing requirement's treatment of certain services furnished as of January 1, 2005, by rural health clinics (RHCs) andFederally qualified health centers (FQHCs). This provision was discussed in Transmittal No. 390 (Change Request No. 3575), issued on December 10, 2004, which is available online at http://www.cms.hhs.gov/ manuals/transmittals/comm_date_dsc.asp .
F. General Overview of the SNF PPS
We implemented the Medicare SNF PPS for cost reporting periods beginning on or after July 1, 1998. Under the PPS, we pay SNFs through prospective, case-mix adjusted per diem payment rates applicable to all covered SNF services.These payment rates cover all the costs of furnishing covered skilled nursing services (routine, ancillary, and capital-related costs) other than costs associated with approved educational activities. Covered SNF services include post-hospital services for which benefits are provided under Part A and all items and services that, before July 1, 1998, had been paid under Part B (other than physician and certain other services specifically excluded under the BBA) but furnished to Medicare beneficiaries in a SNF during a covered Part A stay. A complete discussion of these provisions appears in the May 12, 1998 interim final rule (63 FR 26252).
1. Payment Provisions-Federal Rate
The PPS uses per diem Federal payment rates based on mean SNF costs in a base year updated for inflation to the first effective period of the PPS. We developed the Federal payment rates using allowable costs from hospital-based and freestanding SNF cost reports for reporting periods beginning in FY 1995. The data used in developing the Federal rates also incorporated an estimate of the amounts that would be payable under Part B for covered SNF services furnished to individuals during the course of a covered Part A stay in a SNF.
In developing the rates for the initial period, we updated costs to the first effective year of PPS (the 15-month period beginning July 1, 1998) using a SNF market basket, and then standardized for the costs of facility differences in case-mix and for geographic variations in wages. The database used to compute the Federal payment rates excluded providers that received new provider exemptions from the routine cost limits, as well as costs related to payments for exceptions to the routine cost limits. In accordance with the formula prescribed in the BBA, we set the Federal rates at a level equal to the weighted mean of freestanding costs plus 50 percent of the difference between the freestanding mean and weighted mean of all SNF costs (hospital-based and freestanding) combined. We computed and applied separately the payment rates for facilities located in urban and rural areas. In addition, we adjusted the portion of the Federal rate attributable to wage-related costs by a wage index.
The Federal rate also incorporates adjustments to account for facility case-mix, using a classification system that accounts for the relative resource utilization of different patient types. This classification system,Resource Utilization Groups, version III (RUG-III), uses beneficiary assessment data from the Minimum Data Set (MDS) completed by SNFs to assign beneficiaries to one of 44 RUG-III groups. The May 12, 1998 interim final rule(63 FR 26252) included a complete and detailed description of the RUG-III classification system. A further discussion of the case-mix classification system, including the issue of case-mix refinements, appears in section III.C of this final rule.
The Federal rates in this final rule reflect an update to the rates that we published for FY 2005 equal to the full change in the SNF market basket index. According to section 1888(e)(4)(E)(ii)(IV) of the Act, for FY 2006, we have adjusted the current rates by the full SNF market basket index.
2. Payment Provisions-Initial Transition Period
The SNF PPS included an initial, phased transition from a facility-specific rate (which reflected the individual facility's historical cost experience) to the Federal case-mix adjusted rate. The transition extended through the facility's first three cost reporting periods under the PPS, up to, and potentially including, the one that began in FY 2001. (Further, once section 102 of the BBRA took effect, a facility could elect to bypass the remainder of its transition period and go directly to being paid entirely under the Federal rates.) Accordingly, starting with cost reporting periods beginning in FY 2002, we base payments entirely on the Federal rates and, as mentioned previously in this final rule, we no longer include adjustment factors related to facility-specific rates for the coming fiscal year.
G. Use of the SNF Market Basket Index
Section 1888(e)(5) of the Act requires us to establish a SNF market basket index that reflects changes over time in the prices of an appropriate mix of goods and services included in the covered SNF services. The SNF market basket index is used to update the Federal rates on an annual basis. The final rule published on July 31, 2001(66 FR 39562) revised and rebased the market basket to reflect 1997 total cost data. The SNF market basket index is discussed in greater detail in section III.H of this final rule.
In addition, as explained in the FY 2004 final rule(68 FR 46058, August 4, 2003) and in section III.H of this final rule, the annual update of the payment rates includes, as appropriate, an adjustment to account for market basket forecast error. This adjustment takes into account the forecast error from the most recently available fiscal year for which there are final data, and is applied whenever the difference between the forecasted and actual change in the market basket exceeds a 0.25 percentage point threshold. For FY 2004 (the most recently available fiscal year for which there are final data), the estimated increase in the market basket index was 3.0 percentage points, while the actual increase also was 3.0 percentage points. Therefore, the payment rates for FY 2006 do not include a forecast error adjustment, as there is no difference between the estimated and actual amounts of change. Table 1 below shows the forecasted and actual market basket amounts for FY 2004.
| Index | Forecasted FY 2004 increase* | Actual FY 2004 increase** | FY 2004 forecast error correction*** |
|---|---|---|---|
| SNF | 3.0 | 3.0 | 0.0 |
| * Published in August 4, 2003 Federal Register ; based on second quarter 2003 Global Insight/DRI-WEFA forecast. | |||
| ** Based on the second quarter 2005 Global Insight/DRI-WEFA forecast. | |||
| *** The FY 2004 forecast error correction will be applied to the FY 2006 PPS update. Any forecast error less than 0.25 percentage points is not reflected in the update. | |||
II. Summary of the Provisions of the FY 2006 Proposed Rule
The FY 2006 SNF PPS proposed rule included proposed updates to the FY 2006 Federal payment rates used under the SNF PPS. In accordance with section 1888(e)(4)(E)(ii)(IV) of the Act, the updates reflect the full SNF market basket percentage change for the fiscal year. We also proposed to introduce, as of January 1, 2006, a refined case-mix classification system that would add nine newRehabilitation plus Extensive Services groups at the top of the existing RUG hierarchy. The FY 2006 SNF PPS proposed rule discussed and invited public comment on a number of other clinical issues as well, involving alternative ways to improve quality and efficiency and ensure accurate payments under the SNF PPS.
We also proposed to incorporate OMB's revised definitions for Metropolitan Statistical Areas and its new definitions of Micropolitan Statistical Areas and CombinedStatistical Areas, and we invited comments on the appropriateness of implementing this change through a transition period similar to that adopted under the inpatient hospital PPS (IPPS). Further, we invited public comments on additional HCPCS codes that could represent the type of "high-cost, low probability" services within certain designated service categories (that is, chemotherapy and its administration, radioisotope services, and customized prosthetic devices) that section 103 of the BBRA has authorized us to exclude from the SNF consolidated billing provision. We also invited comments on the apparent hospital practice of having patients spend time in observation status prior to a formal inpatient admission, and on the potential implications of this practice for the SNF benefit's qualifying 3-day hospital stay requirement.
In addition to discussing these general issues in the FY 2006 SNF PPS proposed rule, we also proposed making the following specific revisions to the existing text of the regulations:
• In § 424.3, we would make a technical correction to the definition of "HCPCS".
• In § 424.20, we would revise paragraph (e)(2) to clarify the distinction between "direct" and"indirect" employment relationships in terms of the ability of nurse practitioners and clinical nurse specialists to perform SNF certifications and recertifications.
More detailed information on each of these issues, to the extent that we received public comments on them, appears in the discussion contained in the following sections of this preamble.
III. Analysis of and Responses to Public Comments on the FY 2006 Proposed Rule
In response to the publication of the FY 2006 SNF PPS proposed rule, we received 149 timely items of correspondence from the public. We received numerous comments from various trade associations and major organizations. Comments also originated from nursing homes, hospitals, and other providers, suppliers, and practitioners, nursing home resident advocacy groups, health care consulting firms, and private citizens. The following discussion, arranged by subject area, includes a summary of the public comments that we received, and our responses to the comments appear under the appropriate heading.
A. General Comments on the FY 2006 SNF PPS Proposed Rule
1. Public Comment Schedule for the FY 2006 SNF PPS Proposed Rule
Comment: A few commenters noted that the July 12, 2005, closing date for the public comment period fell less than 60 days after the proposed rule's May 19, 2005, publication date in the Federal Register , and expressed concern about abbreviating the comment period available for the proposed rule. They asserted that a timeframe of less than 60 days was burdensome, and affected their ability to furnish comprehensive responses. They asked us to provide the full 60-day comment period in the future.
Response: We note that in accordance with the requirements of section 1871(b)(1) of the Act, "notice of the proposed regulation in the Federal Register " was provided as of May 13, 2005. At that same time, the document was also posted on the CMS website. Accordingly, the contents of the proposed rule were, in fact, available to the public for the full 60-day comment period.
B. Update of Federal Payment Rates Under the SNF PPS
This final rule sets forth a schedule of Federal prospective payment rates applicable to Medicare Part A SNF services beginning October 1, 2005. The schedule incorporates per diem Federal rates that provide Part A payment for all costs of services furnished to a beneficiary in a SNF during a Medicare-covered stay. In the proposed rule, we proposed case-mix refinements, including the introduction of 9 new RUGs. As part of this process, we proposed to update and recalibrate the therapy and nursing case-mix indexes associated with all RUGs. We also proposed to increase both the nursing and therapy case-mix indexes and provide additional funding to the system in order to account for the variation in non-therapy ancillary costs.
Comment: Several commenters expressed concern regarding the overall fiscal impact of the proposed changes and recommended that the aggregate expenditure levels be increased, either by further increasing the case-mix weights or by increasing the baseline expenditure levels.Other commenters stated that they had been unable to reconcile their independent analyses with the information contained in the proposed rule, and were concerned that the impact of the proposed rate structure would exceed the CMS projections. In other cases, commenters submitted technical questions on the accuracy of the methodology used in developing our proposals, and urged that these methodological issues be addressed for the final rule.
Response: Throughout the comment period, we examined the data presented in the proposed rule, updated the analyses to reflect the most recent available data, and corrected minor technical errors. We received information from industry representatives and others, which helped us to verify the accuracy of the data used in the rate calculations, and then to ensure that the resulting rates correctly reflected the policies specified in the proposed rule. To accomplish these objectives, we made several adjustments to our models to better reflect the methodologies described in the proposed rule.
For example, for our modeling in the proposed rule, we used a therapy case-mix index that originally had been created for use in our FY 2001 refinements proposal, and utilized the same therapy case-mix weights for the new groups as for the original rehabilitation groups; that is, the therapy case-mix weight for the ultra high rehabilitation and combined ultra high rehabilitation/extensive care RUG groups were the same. As part of our ongoing review, we also tested several adjustments to our model, including recalibration of the therapy case-mix weights, using different sets of decision rules, to create separate therapy weights for the nine new groups. The purpose of this exercise was to test whether the adjusted model(s) better reflected the policy outlined in the proposed rule.
Using the adjusted therapy case-mix weights, we repeated the payment simulation described in the proposed rule. We then recalculated the payment adjustment needed to ensure parity when comparing the aggregate expenditure levels of the 44-group and 53-group RUG models. We found that, in recalibrating both the nursing and therapy case-mix weights, applying the payment adjustment solely to the nursing case-mix weights was no longer appropriate. Thus, we tested a second adjustment to the model that modified the payment simulation provision to apply the payment adjustment to both the nursing and therapy case-mix weights. We posted the analyses on our CMS web site.
Industry representatives and others used these data to replicate these analyses, to suggest alternative methodologies, and to develop their formal comments on the proposed rule. Thus, the information exchange through the CMS website was productive, and was beneficial in terms of finalizing our analysis.
Comment: A commenter questioned the methodology used to recalibrate the therapy case-mix weights, and also expressed concerns about the small staff time measurement (STM) sample size used to create separate therapy weights for each of the RUG-III groups.
Response: As part of the ongoing analysis described above, we reviewed the methodology used to create the case-mix weights for the initial introduction of the SNF PPS in 1998, and the ABT recalibration that was published in our FY 2001 proposed rule. We found that, as mentioned by a commenter, we were relying on extremely small sample sizes for several of the combined rehabilitation and extensive care groups. In addition, we found several variations in the decision rules used in the two sets of analyses. We were able to adjust for these methodological differences by recreating the therapy case-mix indexes using the original decision rules.
Once these methodological changes were made, we examined the model to determine the potential impact of using small sample sizes to establish therapy case-mix weights for all 23 rehabilitation groups; that is, 14 existing rehabilitation groups and 9 combined rehabilitation and extensive care groups. We concluded that we could not fully adjust for these small sample sizes when recalibrating the therapy case-mix weights, either as proposed or as noted on our website. Therefore, we have determined that retaining the same therapy case-mix weights that are being used in the 44-group RUG model would best reflect our policy objectives as stated in the proposed rule. These weights will be applied to the RUG groups based on the rehabilitation level. For example, a therapy case-mix weight of 2.25 will be used for the RUC, RUB, RUA,RUX, and RUL groups.
Once the case-mix weight structure was determined, we developed the final rates in accordance with the procedures outlined in the proposed rule. As we updated the nursing case-mix index only, we then applied the payment simulation to the nursing case-mix weights by adding 8.65 percent to maintain parity between the 44-group and 53-group models. Then, a final adjustment of 8.51 percent was made to the nursing weights to reflect the variability in non-therapy ancillary utilization.
In conducting these analyses, it was clear that relying on data collected before the introduction of the SNF PPS is not a permanent solution. We intend to revisit the structural development of the case-mix weights as part of our upcoming STM study, in which we will survey SNFs and collect data to better reflect current practice patterns and resource use in the SNF PPS. In addition, we intend to investigate alternative methods of updating the payment system as part of our ongoing program monitoring and evaluation activities.
1. Costs and Services Covered by the Federal Rates
The Federal rates apply to all costs (routine, ancillary, and capital-related costs) of covered SNF services other than costs associated with approved educational activities as defined in § 413.85. Under section 1888(e)(2) of the Act, covered SNF services include post-hospital SNF services for which benefits are provided under Part A (the hospital insurance program), as well as all items and services (other than those services excluded by statute) that, before July 1, 1998, were paid underPart B (the supplementary medical insurance program) but furnished to Medicare beneficiaries in a SNF during a Part A covered stay. (These excluded service categories are discussed in greater detail in section V.B.2 of the May 12, 1998 interim final rule (63 FR 26295 through 26297)).
2. Methodology Used for the Calculation of the FederalRates
The FY 2006 rates reflect an update using the full amount of the latest market basket index. The FY 2006 market basket increase factor is 3.1 percent. A complete description of the multi-step process was initially delineated in the May 12, 1998 interim final rule (63 FR 26252), and was further revised in subsequent rules. We note that in accordance with section 101(a) of the BBRA and section 314 of the BIPA, the existing, temporary increase in the per diem adjusted payment rates of 20 percent for certain specified clinically complex RUGs (and 6.7 percent for rehabilitation RUGs) remains in effect until January 1, 2006, when the refined RUG-53 classification system is implemented.
We used the SNF market basket to adjust each per diem component of the Federal rates forward to reflect price increases occurring between the midpoint of the Federal fiscal year beginning October 1, 2004, and endingSeptember 30, 2005, and the midpoint of the Federal fiscal year beginning October 1, 2005, and ending September 30, 2006, to which the payment rates apply. In accordance with section 1888(e)(4)(E)(ii)(IV) of the Act, the payment rates for FY 2005 are updated by a factor equal to the full market basket index percentage increase to determine the payment rates for FY 2006.The rates are further adjusted by a wage index budget neutrality factor, described later in this section. The unadjusted rates are the same under both the 44-group RUG-III classification system and the refined RUG-53 classification system.Tables 2 and 3 below reflect the updated components of the unadjusted Federal rates for FY 2006.
| Rate component | Nursing-case-mix | Therapy-case-mix | Therapy-non-case-mix | Non-case-mix |
|---|---|---|---|---|
| Per Diem Amount | $137.59 | $103.64 | $13.65 | $70.22 |
| Rate component | Nursing-case-mix | Therapy-case-mix | Therapy-non-case-mix | Non-case-mix |
|---|---|---|---|---|
| Per Diem Amount | $131.45 | $119.51 | $14.58 | $71.52 |
C. Case-Mix Adjustment and Other Clinical Issues
1. Proposed Refinements to the RUG-III Case-MixClassification System
Under the BBA, we must publish the SNF PPS case-mix classification methodology applicable for the next Federal fiscal year before August 1 of each year. In the FY 2006SNF PPS proposed rule, we proposed to implement refinements in the existing 44-group RUG-III case-mix classification system that would add 9 new Rehabilitation plus ExtensiveServices groups at the top of the existing hierarchy. A full discussion of our proposal can be found in this year's proposed rule for FY 2006 (70 FR 29075-81). The following is a discussion of the comments that we received on this issue.
Comment: A number of commenters viewed the introduction of the proposed refinements in a positive light, both as a means to address the needs of a specific heavy-care population and as a way to remove the uncertainty over the past several years surrounding the pending expiration of the BBRA's temporary add-on payments, which had made it difficult for SNFs to predict with any certainty what their payments would be from one year to the next. Other commenters questioned why we introduced RUG refinements through the regulatory process before finalizing a long term research project and submitting a report to the Congress on the results of that research.Several commenters suggested that it would be more appropriate to wait until the upcoming STM study is completed, so that we could take advantage of more recent data on practice patterns and resource use. Still others were concerned that the proposed refinements do not go far enough to reimburse SNFs adequately for non-therapy ancillaries, and questioned why we proposed a series of incremental changes to the existing RUG-III system rather than developing a comprehensive replacement to the currentSNF PPS.
Response: The RUG refinements and the SNF PPS report to the Congress on alternative systems have often been viewed as two components of a single project. However, while there is a definite relationship, the RUG refinements and the SNF PPS report to the Congress are, and should be viewed as, end products of two separate Congressional mandates.
The BBRA legislation authorized temporary payment adjustments that were intended to serve as short term, interim adjustments to the payment rates and RUG-III case-mix classification system as published in our July 30, 1999 final rule (64 FR 41644). In fact, while the legislation included a contingency plan to maintain the temporary payments until refinements to better account for "medically complex" patients were introduced, the Congress clearly envisioned that these temporary payments would expire on October 1, 2000. Given this short time frame, it seems clear that the "refinements" could be expected to be modest in scope. We believe the rulemaking process was the most appropriate vehicle for introducing any refinement policy changes, as it affords all stakeholders the opportunity to comment before any policy recommendations are finalized.
In contrast, section 311(e) of the BIPA directed us to conduct a study of the different systems for categorizing patients in Medicare SNFs, and to issue a report with any appropriate recommendations to the Congress. Based upon the broad language describing the purpose of this study, and the multi-year timeframe provided for conducting it, we believe that the Congress clearly intended for this study to address more comprehensive changes, by evaluating a number of different classification systems and considering the full range of patient types. The results of this broader research will be discussed in a report that will be released to the Congress once it has been completed.
However, we believe the need for ongoing evaluation and change should not preclude the more immediate introduction of incremental adjustments and improvements to the SNF PPS. We intend to use the report to Congress to outline a series of next steps, including the need for a new STM study, that support our ongoing efforts to enhance the accuracy and efficiency of the SNF PPS.
We note that many of the concerns advanced by the commenters are similar to the ones that some commenters expressed in response to the SNF PPS proposed rule for FY 2004 (68 FR 26758, May 16, 2003), when we last invited public comments on the issue of case-mix refinements. However, as we subsequently observed in the final rule for FY 2004, other commenters were at that same time urging us "* * * to move quickly to identify and implement short-term incremental improvements to provide more appropriate reimbursement for patients with heavy non-therapy ancillary needs" (68 FR 46041, August 4, 2003). As discussed in this year's FY 2006 proposed rule, we believe the refinements that we have developed offer an effective means of enabling the SNF PPS to make more accurate payments for non-therapy ancillary services (thus ensuring continued access to quality care for the very vulnerable heavy-care population), while at the same time avoiding the drawbacks in terms of added complexity that were inherent in previous proposals to address this issue (70 FR 29079). Accordingly, we are implementing the case-mix refinements as set forth in the proposed rule.
Comment: Commenters suggested we expand the proposedRUG-53 classification system by, for instance, creating an additional Rehabilitation RUG between Medium and High and the expansion of the Extensive Services category to include criteria such as cardiac respiratory conditions that require monitoring and the administration of aerosol medications.
Response: During future analysis, most notably our upcoming STM study, we will evaluate whether the RUG categories should be further modified.
In addition, we have discovered that in the FY 2006 SNF PPS proposed rule, we inadvertently misidentified some RUG classification categories corresponding to Rehab High, Rehab Medium, and Rehab Low in Table 3a ("Crosswalk Between Existing RUG-III Rehabilitation Groups and the Proposed Extensive Plus Rehabilitation Groups"). Accordingly, in this final rule, we are reprinting the retitled and corrected Table 3a, as set forth below.
| Current rehabilitation groups | New rehabilitation plus extensive services groups | |
|---|---|---|
| Rehab Ultra | • RUC-ADL 16-18 • RUB-ADL 9-15 • RUA-ADL 4-8 | • RUX-ADL 16-18. • RUL-ADL 7-15. |
| Rehab Very High | • RVC-ADL 16-18 • RVB-ADL 9-15 • RVA-ADL 4-8 | • RVX-ADL 16-18. • RVL-ADL 7-15. |
| Rehab High | • RHC-ADL 13-18 • RHB-ADL 8-12 • RHA-ADL 4-7 | • RHX-ADL 13-18. • RHL-ADL 7-12. |
| Rehab Medium | • RMC-ADL 15-18 • RMB-ADL 8-14 • RMA-ADL 4-7 | • RMX-ADL 15-18. • RML-ADL 7-14. |
| Rehab Low | • RLB-ADL 14-18 • RLA-ADL 4-13 | • RLX-ADL 7-18. |
2. Proposed Increases to the RUG-III Case-Mix Weight Values
To help address the high degree of variability in the use of non-therapy ancillary services that we have identified both within and across groups, in the FY 2006SNF PPS proposed rule, we proposed to increase the case-mix weights for all 53 RUGs (that is, the 44 existing RUG-III groups, as well as the proposed 9 new Rehabilitation plus Extensive Services groups). Specifically, we proposed to apply an increase of 8.4 percent to the component of the case-mix weights that includes both nursing and non-therapy ancillary costs (producing a 3 percent increase in aggregate spending), and to do so in a manner that would integrate the increase into base line spending levels and continue it in future years (70 FR 29079). (As noted previously in section III.B, the proposed 8.4 percent increase to the nursing component of the case-mix weights is now 8.51 percent in this final rule.) The following is a discussion of the comments that we received on this issue.
Comment: A number of commenters were concerned about the adequacy of payment for non-therapy ancillary services, and questioned whether the proposed increase in the nursing case-mix weights fully addresses the issue. Several commenters recommended that the case-mix weights should be adjusted by more than the 8.4 percent presented in the proposed rule. Others suggested that, rather than adjusting the case-mix weights by a factor comparable to outlier pools (that is, 3 percent of aggregate spending) established for other prospective payment systems, we implement a SNF outlier pool that could more specifically target high-cost cases. A few commenters also recommended that we adopt a payment adjustment for hospital-based SNFs, either as part of an outlier policy or as an adjustment to the base rates that would address not only the different levels of non-therapy ancillary utilization between hospital-based and freestanding facilities, but the overall cost structure differences related to differences in patient characteristics and care needs. In addition, several commenters recommended creating a variable per diem payment mechanism similar to the mechanism used for inpatient psychiatric hospitals, where higher payments could be made for the early (and presumably more costly) days of a SNF stay. Finally, a few commenters expressed concern that the effect of the refinements would be to redirect dollars away from beneficiaries needing complex medical services.
Response: As discussed here and in our proposed rule, the variability in non-therapy ancillary utilization increased the difficulty of any refinement to the RUG-III system without increasing the system complexity to such a degree that it would become both burdensome and confusing to the facility staff responsible for administering the system. In evaluating potential options, we recognized that this across-the-board increase in the nursing component is only an incremental improvement, but it is a change that did not give rise to the concerns about undue complexity noted above.
Moreover, while the introduction of these refinements fulfills our obligations under section 101 of the BBRA, we note it is just the first of an ongoing series of analyses aimed at enhancing the SNF PPS payment structure. For example, we are already examining the potential for an outlier program to further enhance program accuracy and beneficiary access to care.
The introduction of this incremental change is part of this ongoing process that will also include update activities such as the upcoming STM study and investigation of potential alternatives to the RUG system itself. However, the commitment to long term analysis and refinement should not preclude the introduction of more immediate methodological and policy updates.
While most commenters viewed the adoption of the nine new groups as beneficial, a few commenters were concerned that money was being redirected away from the complex medical RUGs. We are confident that the introduction of these refinements benefits heavy-care beneficiaries. However, as shown in Table 12 of this final rule, changes in the FY 2006 rate structure reflect an interrelationship between many factors, including the elimination of the BBRA add-ons, changes in the wage index, and the introduction of the refinements.
Comment: Some commenters suggested that the underfunding in the Medicaid system should be addressed at the same time as the Medicare RUGs refinement, and expressed concern about the impact that Medicare payment rate reductions would have in combination with changes in State Medicaid payments.
Response: While Medicare and Medicaid are independent programs that are subject to different ratesetting and budgetary mechanisms, we recognize their interrelationship, particularly for those States that utilize variations of Medicare's RUG case-mix classification system. We further recognize that Medicaid needs to establish rates that accurately reflect the cost of Medicaid services. In order to assist in realizing that objective, we plan to use our upcoming STM study to look at the entire RUG payment system, including facilities that are predominatelyMedicaid-based. Additionally, the Pay for Performance quality initiatives discussed in the FY 2006 proposed rule could apply to both covered Part A and noncovered (Part B) stays of dual-eligibles.
3. Implementation Issues
In order to enable nursing homes and Medicare contractors to have sufficient lead time to prepare for the changes associated with implementing the RUG-III case-mix refinements, in the FY 2006 SNF PPS proposed rule we proposed an effective date for the refinements of January 1, 2006, rather than the start of the fiscal year on October 1, 2005. (Under the terms of section 101(c) of the BBRA, the temporary add-on payments enacted by sections 101(a) and (b) of the BBRA for certain designatedRUG-III groups would expire on the date that these refinements take effect.) The following is a discussion of the comments that we received on this issue.
Comment: Generally, commenters were supportive of the delay in implementing the case-mix refinements. However, some commenters were concerned that the January 2006 date does not provide adequate preparation time, especially for the software vendors and facilities that will need to update their MDS data systems. They pointed out the need for adequate lead time to ensure a smooth transition. In addition, a few commenters wanted to know which date would determine when the new RUG classification would need to be reported on the claim (for example the Assessment ReferenceDate (ARD, item A3a), the Minimum Data Set (MDS) completion date (item R2b), the service date, or the admission date), as well as whether the MDS edits will provide a 44-group RUG for corrected MDSs. Finally, a few commenters noted that the RAVEN software would need to be updated prior to any changes to the existing RUG-III classification system.
Response: We agree that software vendors and SNFs must have enough time to design, test, and implement the system changes needed to support these refinements. For this reason, we have scheduled a software vendor conference call on August 4, 2005 to review the data specifications, and respond to questions on the changes. Further information on this vendor teleconference is posted on ourQuality Improvement Evaluation System (QIES) website at the following address: http://www.qtso.com/vendor.html. We will also make available the new software specifications at http://www.cms.hhs.gov/medicaid/mds20/mdssoftw.asp and vendors should implement the appropriate software by November 22, 2005. This timeline provides the vendors over 3 months to update their programs for SNFs. We also plan to release training materials and billing instructions in sufficient time so that SNFs will be able to transition to the refined RUG model.
As stated in the proposed rule, we will begin to apply the RUG case-mix refinement on January 1, 2006. Even though payments are determined by the MDS, the CMS claims processing systems operate on a date of service basis. Thus, the new rates need to go into effect as of January 1, 2006, rather than by the ARD date. This procedure is consistent with the billing procedures used at the start of each rate year. Providers are always instructed to prepare separate bills for services prior to and on or after October 1. This ensures that the claim is paid using the correct rate.
We believe that by scheduling implementation for January 1, 2006, rather than October 1, 2005 (the beginning of FY 2006), we are allowing ample time for providers to adjust to the refined RUG case-mix classification system and to train and educate their staff. This date also allows vendors sufficient time to update their programs to meet our requirements. Finally, by providing a date certain, all systems (State, CMS, FI, providers) can be configured uniformly, thus limiting potential billing errors.
The provider shall bill the appropriate RUG category based on the calendar date of service. For days of service before January 1, 2006, the provider shall record the 44-group RUG on the claim. For days of service beginning on January 1, 2006, the provider shall record the 53-group RUG on the claim.
If for some unforeseen reason, a software vendor is not able to update its program by mid-November, the State system "Final Validation Report" to the provider will list both the 44-group RUG and the 53-group RUG for SNF PPS assessments with ARDs of 11/22/2005 through 1/13/2006. These are the potential transition assessments that could be used for days of service both before January 1, 2006 and for days of service in 2006. For example, a 60-day SNF PPS MDS can be completed as early as day 50 of the beneficiary's SNF Part A stay. If the resident's 50th day of the stay is November 22, 2005 and the provider chooses this date as the ARD for the 60-day PPS MDS, the 44-group RUG would be billed from day 61 (December 3, 2005) to day 89 (December 31, 2005) and the 53-group RUG would be billed for day 90 (January 1, 2006).
For assessments with ARDs before November 22, 2005, only the 44-group RUG is appropriate for billing and the "Final Validation Report" will only report the 44-group RUG when the facility submits an incorrect 44-group RUG on the assessment. For assessments with ARDs after January 13, 2006, only the 53-group RUG is appropriate for billing and the "Final Validation Report" will only report the 53-groupRUG when the facility submits an incorrect 53-group RUG on the assessment. For assessments with ARDs from November 22, 2005 through January 13, 2006, the MDS may be submitted with either the 44-group RUG or the 53-group RUG.
Correction assessments (Modifications or Significant Correction Assessments) will be processed in the same manner as other assessments. The RUG grouper (44-group vs. 53-group RUG) that will be calculated and accepted will be determined by the ARD of the Modification or SignificantCorrection Assessment.
We believe that these steps provide adequate support, and will proceed with the implementation of the refinements effective January 1, 2006.
4. Additional Clinical and Related Issues
In addition to the proposed case-mix refinements, the FY 2006 SNF PPS proposed rule discussed and invited public comment on a number of other clinical and related issues involving alternative ways to improve quality and efficiency and continue to ensure accurate payments under the SNF PPS.
a. Proposed Changes to the MDS Coding Requirements ("Look Back" Period, 5-Day Grace Periods for PPS MDS Assessments, and Projection of Anticipated Therapy Services During the 5-Day PPS Assessment (Section T))
In the FY 2006 SNF PPS proposed rule, we invited public comment on possible changes in MDS coding requirements, such as decreasing the length of the "look-back" period (to restrict coding of certain high intensity services to those actually received in the SNF), decreasing or eliminating the grace periods associated with PPS MDS assessments (specifically with reference to the 5-day PPS MDS assessment), and possibly eliminating the projection of anticipated therapy services during the 5-day PPS assessment (70 FR 29080).
Comment: We received numerous comments on several potential changes to the MDS and the case-mix classification system that we proposed. The overwhelming majority of commenters opposed the elimination of two current policies: The availability of grace days when completing the MDS, and the method of estimating therapy services during the first 15 days of a SNF admission. However, a few commenters supported eliminating the method of estimating therapy services, mentioning findings by the GAO and the Data Assessment and Verification Project (DAVE) that demonstrated a mismatch between the estimated and actual amount of therapy provided, and expressing concern that there may be some abuse of this policy. In addition, a few commenters suggested limiting the use of grace days to the 5-day and 14-day assessments. We also received numerous comments on the change in the MDS assessment "look back" period to restrict MDS reporting to services furnished in the SNF rather than during the preceding hospital stay. While some commenters supported the change in terms of SNF reimbursement policy, most commenters believed there were strong care planning reasons for retaining the current policy. Specifically, the commenters were concerned that facility staff would be unable to perform an accurate assessment of the resident, and that the elimination of the data would result in an underestimate of resource needs and negatively affect the development of an individualized care plan. A number of commenters also recommended that the type of changes discussed in the proposed rule needed to be coordinated with other CMS initiatives, including the development of MDS 3.0 and the upcoming STM study.
Response: After reviewing the comments, we agree that the changes discussed above should be addressed as part of a comprehensive examination of both the MDS 3.0 design initiative and the case-mix classification system. Therefore, we will not implement changes at this time, but will continue to study these and other issues during the upcoming STM study and MDS 3.0 design initiative.
b. Long-Term Payment and Quality Incentive Proposals
In the FY 2006 SNF PPS proposed rule, we discussed and invited comment on various long-term payment and quality incentives (70 FR 29080-29081). The following is a discussion of the comments that we received on these issues.
Comment: Commenters generally responded positively to our discussion of these issues. Regarding Pay for Performance initiatives, the overwhelming majority of commenters believed that its design should be a collaborative process between CMS, industry representatives, and other stakeholders to ensure development of a fair and equitable program. In some cases, the comments we received contained detailed suggestions on the design, validation, and use of quality measures in such a program. A few commenters also suggested specific funding structures. Other commenters suggested that additional work is needed to evaluate the interaction between performance measures used for payment and the design structure of an MDS 3.0 assessment tool. Commenters also expressed interest in the integrated post acute payment system, and were supportive of the idea that reimbursement under such a system could be more closely linked to actual patient need. Similarly, the majority of commenters believed that the development of electronic health records has a real potential for improving the accuracy and efficiency of the system. Commenters were also very supportive of enhanced discharge planning, and saw it as a way of achieving improved outcomes in terms of quality of care as well as quality of life for facility residents.
Response: We agree with the commenters that the most effective way of designing any of these initiatives would be through a collaborative process. To that end, we have begun work on a SNF Pay for Performance model, and have already had informal discussions with stakeholders, where we asked them for their input and comments on specific design issues. These issues included the type of measures that would be most appropriate, and the importance of ensuring that they reflect the needs of the entire population, from post acute patients to chronic, long-term care patients. We also informed the stakeholders that we have contracted with Abt Associates to design a demonstration model, and we asked for their feedback on the type of model that would be most effective in fostering quality of care. We plan to follow up with a general meeting early this fall, where we will discuss design issues and potential quality measures in greater detail. We expect to follow similar procedures as we undertake development of the various other initiatives discussed here and in the proposed rule.
c. Proposal To Clarify "Direct" and "Indirect" Employment Relationships for Nurse Practitioners and Clinical NurseSpecialists
The Medicare statute specifies that a nurse practitioner (NP) or a clinical nurse specialist (CNS) can perform the required level of care certifications and recertifications in a SNF only if the NP or CNS " * * * does not have a direct or indirect employment relationship with the facility * * *" (section 1814(a)(2) of the Act). In the FY 2006 SNF PPS proposed rule, we proposed revising our policies at § 424.20(e)(2) of the regulations to distinguish more clearly between "direct" and "indirect" employment relationships in terms of the ability of NPs and CNSs to perform SNF certifications and recertifications. We noted that NPs and CNSs who are employed by SNFs not only perform the types of delegated physician tasks that are permitted under the long-term care facility requirements for participation at 42 CFR 483.40(e), but typically perform general nursing services as well. In those situations where no direct employment relationship exists between an NP or CNS and the SNF, we proposed that an indirect employment relationship exists for any NP or CNS who performs these general nursing services for the SNF under the regulations at 42 CFR 409.21 (70 FR 29082).
Comment: Many commenters expressed concern that our proposal to define "indirect" employment in terms of the provision of general nursing services was overly restrictive. They argued that adopting this approach would inhibit NPs and CNSs from engaging in their full scope of practice, and would limit SNF residents' access to their services. It was also asserted that our proposed definition actually goes well beyond the intent of the Congressional restriction on indirect employment relationships, as it could encompass even those NPs and CNSs who operate in independent practice and have no employment relationship whatsoever with the SNF, either directly or through another entity. In addition, some commenters suggested that our proposed approach represents a double standard, in that it would not subject physicians to similar restrictions.
Response: Regarding the concerns about unduly impeding the scope of practice for NPs and CNSs and limiting resident access to their services, we note that under section 1814(a)(2) of the Act, the statutory prohibition against an NP or CNS having a direct or indirect employment relationship with the SNF applies solely in terms of performing the required certification and recertifications of the beneficiary's need for Part A SNF services, and does not carry over to any other context. This means that while the presence of such an employment relationship would serve to preclude an NP or CNS from performing the required SNF certification and recertifications, it would not additionally prevent the NP or CNS from furnishing the full range of direct patient care to the SNF's residents. Further, regarding the issue of the differential treatment of physicians (who are not subject to this restriction), we note that the statute itself specifically applies the restriction to NPs and CNSs, but not to physicians.
In essence, we believe that a direct employment relationship is one in which the SNF itself exercises the right of direction and control over the NP or CNS that characterizes an employment relationship under the common law test (see the regulations at 20 CFR 404.1005, 404.1007, and 404.1009), while an indirect employment relationship is one in which another entity exercises this right on the SNF's behalf. However, we agree that an indirect employment relationship should not be defined so broadly as to encompass an NP or CNS who is operating in independent practice and, thus, has no employer-employee relationship whatsoever, either with the SNF or with any other entity. Moreover, we believe this term should not encompass situations where an entity other than the SNF, although employing the NP or CNS, does not do so on the SNF's behalf. For example, it is common for an NP or CNS who is employed by a group practice to see SNF residents on behalf of one of the group practice's physicians. There may be instances where the group practice enters into an agreement with the SNF that includes having the group practice's NP or CNS employee furnish general nursing services to the SNF's residents. As these general nursing services would fall within the package of bundled services for which the SNF is financially and professionally responsible, the group practice under such an agreement essentially would be exercising its authority as the NP's or CNS's employer on the SNF's behalf, so that an indirect employment relationship would exist between the SNF and the NP or CNS.
By contrast, if the group practice's agreement with the SNF does not involve the provision of bundled nursing services (for example, it is solely for the purpose of gaining admitting privileges for the group practice's physicians, or for providing excluded NP or CNS services to the SNF's residents), then the group practice's exercise of its authority as the NP's or CNS's employer would not be done on the SNF's behalf. Consequently, an indirect employment relationship would not arise under such an agreement, and the NP or CNS would not be precluded from either furnishing the separately billable NP or CNS services to the SNF's residents, or from completing the required certifications and recertifications. Similarly, an indirect employment relationship would not arise in those instances where the only services that the NP or CNS furnishes to the SNF's residents under the agreement are delegated physician tasks under 42 CFR 483.40(e).
Accordingly, in response to comments, we are modifying this aspect of the proposed rule in the regulations at § 424.20 to specify that in contrast to a direct employment relationship with a SNF (in which the SNF itself exercises the right of direction and control over the NP or CNS that characterizes an employment relationship under the common law test), an indirect employment relationship exists in situations where an NP or CNS meets both of the following conditions: (1) The NP or CNS has a direct employment relationship with an entity other than the SNF itself; and (2) The NP's or CNS's employer enters into an agreement with the SNF for the provision of bundled general nursing services to the SNF's residents. Under this definition, an NP or CNS who is employed by an entity other than the SNF can still perform SNF certifications and recertifications, as long as his or her employer has not entered into such an agreement with the SNF.
d. Completion of Other Medicare Required Assessments (OMRAs)
In the FY 2006 SNF PPS proposed rule, we noted that one of the requirements governing the completion of Other Medicare Required Assessments (OMRAs) specifies that an OMRA "is due" 8 to 10 days after the cessation of all therapy (occupational and physical therapies and speech-language pathology services) in all situations where the beneficiary was assigned a rehabilitation RUG on the previous assessment. We then went on to clarify how the last day of therapy is determined in this context.
Comment: Most commenters supported introduction of the clarification, while a small number of commenters expressed concern about the wording. Others expressed concerns on issues that are not directly related to the OMRA language, including comments expressing concern about the limited ability to capture the "short-stay patients discharged before the five-day assessment," and suggesting that we introduce either an at-admission or an at-discharge assessment, or that we eliminate the 5-day assessment.
Response: After reviewing the comments, we agree that we can further clarify our discussion of OMRA assessments in the proposed rule. Therefore, we wish to clarify that in our previous statements that the OMRA "is due" 8 to 10 days after the cessation of all therapy, and that therapeutic leave days are counted in determining the OMRA "due date," the due date to which we refer is, in fact, the Assessment Reference Date (ARD). Thus, it is the ARD of the OMRA that must be set 8 to 10 days after the cessation of all therapy, and therapeutic leave days are counted when setting the OMRA ARD. Further, we note that we will keep the commenters' additional suggestions in this area in mind as we pursue our ongoing efforts to improve the accuracy and efficiency of the SNF PPS and the MDS processing system.
e. Concurrent Therapy
In the FY 2006 SNF PPS proposed rule, we solicited public comment on whether additional guidance might be warranted to help prevent the inappropriate provision of concurrent therapy in situations where it is not clinically justified (70 FR 29082-29083). The following is a discussion of the comments that we received on this issue.
Comment: A majority of commenters support the continuation of concurrent therapy as a delivery mode for rehabilitation services when properly furnished by the therapist. Many commenters suggested that CMS establish guidelines or develop examples that would provide guidance on the appropriate use of concurrent therapy, while a few commenters pointed out that CMS already has authority to conduct medical reviews and opposed further regulation. We also received some comments that suggested ways to decrease confusion among therapists, including educational outreach with the assistance of the professional associations, and establishing a single set of guidelines for Medicare Part A and Medicare Part B. Several commenters reported abuse and some reported that staff are being coerced to maximize minutes and reimbursement. One commenter expressed concern that, in the absence of concurrent therapy, some patients might not receive any services. However, another commenter suggested that the overuse of concurrent therapy could mean that a beneficiary might never receive necessary individualized care.
Response: We addressed the practice of concurrent therapy in the FY 2006 SNF PPS proposed rule in order to reiterate Medicare policy and to solicit public comment. Our concern was two-fold: That therapists' professional judgment was being overridden by pressures to be more productive by treating multiple beneficiaries concurrently; and that the Medicare policy that allows for the treatment of multiple beneficiaries was being used inappropriately and could lead to diminished quality of care. We wished to convey that the therapist's professional judgment should not be compromised and concurrent therapy should be performed only when it is clinically appropriate to render care to more than one individual (other than group therapy) at the same time. We agree that, at times, such care can be provided concurrently with another therapy patient, as long as the decision to do so is driven by valid clinical considerations. As requested by several commenters and based on the reports of overuse and/or abuse of concurrent therapy, we will continue to monitor these issues. We intend to work with professional organizations to determine the type of guidelines and educational materials that would be most helpful to therapists and other stakeholders. In addition, we also intend to address concurrent and group therapy utilization patterns during our STM study scheduled to start later this calendar year.
5. Case-Mix Adjusted Federal Rates and Associated Indexes
We have established January 1, 2006, as the beginning date for the use of the case-mix refinements. Accordingly, from October 1, 2005, through December 31, 2005, we will make payment based entirely on the existing 44-group RUG-III classification system. Tables 4, 5, 6, and 7 reflect the corresponding rate information for the existing 44-group RUG-III classification system to be used during this time.
Beginning on January 1, 2006, we will make payment based entirely on the refined RUG-53 classification system (and, thus, would not include the add-on payments). Tables 4a, 5a, 6a, and 7a reflect the corresponding rate information for the RUG-53 classification system.
As part of our ongoing analysis of the 53-group model, we updated the nursing case-mix weights presented in the proposed rule using 2001 data, the most current data available. In addition, based on comments, we adjusted the 53-group model to retain the existing therapy case-mix weights for the 23 Rehabilitation and combined Rehabilitation/Extensive Care groups. We then used the updated case-mix data to repeat the payment simulation described in the proposed rule. The payment simulation showed that adjustments were needed to maintain parity between the 44-group and 53-group models. Thus, we modified the payment simulation model to apply the payment adjustment to both the nursing and therapy case-mix weights proportionally by the aggregate number of days in therapy RUGs versus non-therapy RUGs. This parity was achieved by increasing the nursing case-mix weight by 8.65 percent. Finally, using the methodology described in the proposed rule, we calculated an 8.51 percent nursing case-mix weight adjustment factor to use to address variability in non-therapy ancillary costs. The steps taken to calculate the 53-group model nursing case-mix weights are shown on the SNF PPS website, at www.cms.hhs.gov/providers/snfpps .
Tables 4 and 5 reflect the updated SNF Federal rates for FY 2006 for the existing 44-group RUG-III classification system. Tables 4a and 5a reflect the updated SNF Federal rates for FY 2006 for the RUG-53 classification system. The first nine groups listed in Tables 4a and 5a are for the new Rehabilitation plus Extensive Services groups.
| RUG III category | Nursing index | Therapy index | Nursing component | Therapy component | Non-case mix therapy component | Non-case mix component | Total rate |
|---|---|---|---|---|---|---|---|
| RUC | 1.30 | 2.25 | 178.87 | 233.19 | 70.22 | 482.28 | |
| RUB | 0.95 | 2.25 | 130.71 | 233.19 | 70.22 | 434.12 | |
| RUA | 0.78 | 2.25 | 107.32 | 233.19 | 70.22 | 410.73 | |
| RVC | 1.13 | 1.41 | 155.48 | 146.13 | 70.22 | 371.83 | |
| RVB | 1.04 | 1.41 | 143.09 | 146.13 | 70.22 | 359.44 | |
| RVA | 0.81 | 1.41 | 111.45 | 146.13 | 70.22 | 327.80 | |
| RHC | 1.26 | 0.94 | 173.36 | 97.42 | 70.22 | 341.00 | |
| RHB | 1.06 | 0.94 | 145.85 | 97.42 | 70.22 | 313.49 | |
| RHA | 0.87 | 0.94 | 119.70 | 97.42 | 70.22 | 287.34 | |
| RMC | 1.35 | 0.77 | 185.75 | 79.80 | 70.22 | 335.77 | |
| RMB | 1.09 | 0.77 | 149.97 | 79.80 | 70.22 | 299.99 | |
| RMA | 0.96 | 0.77 | 132.09 | 79.80 | 70.22 | 282.11 | |
| RLB | 1.11 | 0.43 | 152.72 | 44.57 | 70.22 | 267.51 | |
| RLA | 0.80 | 0.43 | 110.07 | 44.57 | 70.22 | 224.86 | |
| SE3 | 1.70 | 233.90 | 13.65 | 70.22 | 317.77 | ||
| SE2 | 1.39 | 191.25 | 13.65 | 70.22 | 275.12 | ||
| SE1 | 1.17 | 160.98 | 13.65 | 70.22 | 244.85 | ||
| SSC | 1.13 | 155.48 | 13.65 | 70.22 | 239.35 | ||
| SSB | 1.05 | 144.47 | 13.65 | 70.22 | 228.34 | ||
| SSA | 1.01 | 138.97 | 13.65 | 70.22 | 222.84 | ||
| CC2 | 1.12 | 154.10 | 13.65 | 70.22 | 237.97 | ||
| CC1 | 0.99 | 136.21 | 13.65 | 70.22 | 220.08 | ||
| CB2 | 0.91 | 125.21 | 13.65 | 70.22 | 209.08 | ||
| CB1 | 0.84 | 115.58 | 13.65 | 70.22 | 199.45 | ||
| CA2 | 0.83 | 114.20 | 13.65 | 70.22 | 198.07 | ||
| CA1 | 0.75 | 103.19 | 13.65 | 70.22 | 187.06 | ||
| IB2 | 0.69 | 94.94 | 13.65 | 70.22 | 178.81 | ||
| IB1 | 0.67 | 92.19 | 13.65 | 70.22 | 176.06 | ||
| IA2 | 0.57 | 78.43 | 13.65 | 70.22 | 162.30 | ||
| IA1 | 0.53 | 72.92 | 13.65 | 70.22 | 156.79 | ||
| BB2 | 0.68 | 93.56 | 13.65 | 70.22 | 177.43 | ||
| BB1 | 0.65 | 89.43 | 13.65 | 70.22 | 173.30 | ||
| BA2 | 0.56 | 77.05 | 13.65 | 70.22 | 160.92 | ||
| BA1 | 0.48 | 66.04 | 13.65 | 70.22 | 149.91 | ||
| PE2 | 0.79 | 108.70 | 13.65 | 70.22 | 192.57 | ||
| PE1 | 0.77 | 105.94 | 13.65 | 70.22 | 189.81 | ||
| PD2 | 0.72 | 99.06 | 13.65 | 70.22 | 182.93 | ||
| PD1 | 0.70 | 96.31 | 13.65 | 70.22 | 180.18 | ||
| PC2 | 0.65 | 89.43 | 13.65 | 70.22 | 173.30 | ||
| PC1 | 0.64 | 88.06 | 13.65 | 70.22 | 171.93 | ||
| PB2 | 0.51 | 70.17 | 13.65 | 70.22 | 154.04 | ||
| PB1 | 0.50 | 68.80 | 13.65 | 70.22 | 152.67 | ||
| PA2 | 0.49 | 67.42 | 13.65 | 70.22 | 151.29 | ||
| PA1 | 0.46 | 63.29 | 13.65 | 70.22 | 147.16 |
| RUG-53 category | Nursing index | Therapy index | Nursing component | Therapy component | Non-case mix therapy component | Non-case mix component | Total rate |
|---|---|---|---|---|---|---|---|
| RUX | 1.90 | 2.25 | 261.42 | 233.19 | 70.22 | 564.83 | |
| RUL | 1.40 | 2.25 | 192.63 | 233.19 | 70.22 | 496.04 | |
| RVX | 1.54 | 1.41 | 211.89 | 146.13 | 70.22 | 428.24 | |
| RVL | 1.33 | 1.41 | 182.99 | 146.13 | 70.22 | 399.34 | |
| RHX | 1.42 | 0.94 | 195.38 | 97.42 | 70.22 | 363.02 | |
| RHL | 1.37 | 0.94 | 188.50 | 97.42 | 70.22 | 356.14 | |
| RMX | 1.93 | 0.77 | 265.55 | 79.80 | 70.22 | 415.57 | |
| RML | 1.68 | 0.77 | 231.15 | 79.80 | 70.22 | 381.17 | |
| RLX | 1.31 | 0.43 | 180.24 | 44.57 | 70.22 | 295.03 | |
| RUC | 1.28 | 2.25 | 176.12 | 233.19 | 70.22 | 479.53 | |
| RUB | 0.99 | 2.25 | 136.21 | 233.19 | 70.22 | 439.62 | |
| RUA | 0.84 | 2.25 | 115.58 | 233.19 | 70.22 | 418.99 | |
| RVC | 1.23 | 1.41 | 169.24 | 146.13 | 70.22 | 385.59 | |
| RVB | 1.09 | 1.41 | 149.97 | 146.13 | 70.22 | 366.32 | |
| RVA | 0.82 | 1.41 | 112.82 | 146.13 | 70.22 | 329.17 | |
| RHC | 1.22 | 0.94 | 167.86 | 97.42 | 70.22 | 335.50 | |
| RHB | 1.11 | 0.94 | 152.72 | 97.42 | 70.22 | 320.36 | |
| RHA | 0.94 | 0.94 | 129.33 | 97.42 | 70.22 | 296.97 | |
| RMC | 1.15 | 0.77 | 158.23 | 79.80 | 70.22 | 308.25 | |
| RMB | 1.09 | 0.77 | 149.97 | 79.80 | 70.22 | 299.99 | |
| RMA | 1.04 | 0.77 | 143.09 | 79.80 | 70.22 | 293.11 | |
| RLB | 1.14 | 0.43 | 156.85 | 44.57 | 70.22 | 271.64 | |
| RLA | 0.85 | 0.43 | 116.95 | 44.57 | 70.22 | 231.74 | |
| SE3 | 1.86 | 255.92 | 13.65 | 70.22 | 339.79 | ||
| SE2 | 1.49 | 205.01 | 13.65 | 70.22 | 288.88 | ||
| SE1 | 1.26 | 173.36 | 13.65 | 70.22 | 257.23 | ||
| SSC | 1.23 | 169.24 | 13.65 | 70.22 | 253.11 | ||
| SSB | 1.13 | 155.48 | 13.65 | 70.22 | 239.35 | ||
| SSA | 1.10 | 151.35 | 13.65 | 70.22 | 235.22 | ||
| CC2 | 1.22 | 167.86 | 13.65 | 70.22 | 251.73 | ||
| CC1 | 1.06 | 145.85 | 13.65 | 70.22 | 229.72 | ||
| CB2 | 0.98 | 134.84 | 13.65 | 70.22 | 218.71 | ||
| CB1 | 0.91 | 125.21 | 13.65 | 70.22 | 209.08 | ||
| CA2 | 0.90 | 123.83 | 13.65 | 70.22 | 207.70 | ||
| CA1 | 0.80 | 110.07 | 13.65 | 70.22 | 193.94 | ||
| IB2 | 0.74 | 101.82 | 13.65 | 70.22 | 185.69 | ||
| IB1 | 0.72 | 99.06 | 13.65 | 70.22 | 182.93 | ||
| IA2 | 0.61 | 83.93 | 13.65 | 70.22 | 167.80 | ||
| IA1 | 0.56 | 77.05 | 13.65 | 70.22 | 160.92 | ||
| BB2 | 0.73 | 100.44 | 13.65 | 70.22 | 184.31 | ||
| BB1 | 0.69 | 94.94 | 13.65 | 70.22 | 178.81 | ||
| BA2 | 0.60 | 82.55 | 13.65 | 70.22 | 166.42 | ||
| BA1 | 0.52 | 71.55 | 13.65 | 70.22 | 155.42 | ||
| PE2 | 0.85 | 116.95 | 13.65 | 70.22 | 200.82 | ||
| PE1 | 0.82 | 112.82 | 13.65 | 70.22 | 196.69 | ||
| PD2 | 0.78 | 107.32 | 13.65 | 70.22 | 191.19 | ||
| PD1 | 0.76 | 104.57 | 13.65 | 70.22 | 188.44 | ||
| PC2 | 0.71 | 97.69 | 13.65 | 70.22 | 181.56 | ||
| PC1 | 0.69 | 94.94 | 13.65 | 70.22 | 178.81 | ||
| PB2 | 0.55 | 75.67 | 13.65 | 70.22 | 159.54 | ||
| PB1 | 0.54 | 74.30 | 13.65 | 70.22 | 158.17 | ||
| PA2 | 0.53 | 72.92 | 13.65 | 70.22 | 156.79 | ||
| PA1 | 0.50 | 68.80 | 13.65 | 70.22 | 152.67 |
| RUG III category | Nursing index | Therapy index | Nursing component | Therapy component | Non-case mix therapy component | Non-case mix component | Total rate |
|---|---|---|---|---|---|---|---|
| RUC | 1.30 | 2.25 | 170.89 | 268.90 | 71.52 | 511.31 | |
| RUB | 0.95 | 2.25 | 124.88 | 268.90 | 71.52 | 465.30 | |
| RUA | 0.78 | 2.25 | 102.53 | 268.90 | 71.52 | 442.95 | |
| RVC | 1.13 | 1.41 | 148.54 | 168.51 | 71.52 | 388.57 | |
| RVB | 1.04 | 1.41 | 136.71 | 168.51 | 71.52 | 376.74 | |
| RVA | 0.81 | 1.41 | 106.47 | 168.51 | 71.52 | 346.50 | |
| RHC | 1.26 | 0.94 | 165.63 | 112.34 | 71.52 | 349.49 | |
| RHB | 1.06 | 0.94 | 139.34 | 112.34 | 71.52 | 323.20 | |
| RHA | 0.87 | 0.94 | 114.36 | 112.34 | 71.52 | 298.22 | |
| RMC | 1.35 | 0.77 | 177.46 | 92.02 | 71.52 | 341.00 | |
| RMB | 1.09 | 0.77 | 143.28 | 92.02 | 71.52 | 306.82 | |
| RMA | 0.96 | 0.77 | 126.19 | 92.02 | 71.52 | 289.73 | |
| RLB | 1.11 | 0.43 | 145.91 | 51.39 | 71.52 | 268.82 | |
| RLA | 0.80 | 0.43 | 105.16 | 51.39 | 71.52 | 228.07 | |
| SE3 | 1.70 | 223.47 | 14.58 | 71.52 | 309.57 | ||
| SE2 | 1.39 | 182.72 | 14.58 | 71.52 | 268.82 | ||
| SE1 | 1.17 | 153.80 | 14.58 | 71.52 | 239.90 | ||
| SSC | 1.13 | 148.54 | 14.58 | 71.52 | 234.64 | ||
| SSB | 1.05 | 138.02 | 14.58 | 71.52 | 224.12 | ||
| SSA | 1.01 | 132.76 | 14.58 | 71.52 | 218.86 | ||
| CC2 | 1.12 | 147.22 | 14.58 | 71.52 | 233.32 | ||
| CC1 | 0.99 | 130.14 | 14.58 | 71.52 | 216.24 | ||
| CB2 | 0.91 | 119.62 | 14.58 | 71.52 | 205.72 | ||
| CB1 | 0.84 | 110.42 | 14.58 | 71.52 | 196.52 | ||
| CA2 | 0.83 | 109.10 | 14.58 | 71.52 | 195.20 | ||
| CA1 | 0.75 | 98.59 | 14.58 | 71.52 | 184.69 | ||
| IB2 | 0.69 | 90.70 | 14.58 | 71.52 | 176.80 | ||
| IB1 | 0.67 | 88.07 | 14.58 | 71.52 | 174.17 | ||
| IA2 | 0.57 | 74.93 | 14.58 | 71.52 | 161.03 | ||
| IA1 | 0.53 | 69.67 | 14.58 | 71.52 | 155.77 | ||
| BB2 | 0.68 | 89.39 | 14.58 | 71.52 | 175.49 | ||
| BB1 | 0.65 | 85.44 | 14.58 | 71.52 | 171.54 | ||
| BA2 | 0.56 | 73.61 | 14.58 | 71.52 | 159.71 | ||
| BA1 | 0.48 | 63.10 | 14.58 | 71.52 | 149.20 | ||
| PE2 | 0.79 | 103.85 | 14.58 | 71.52 | 189.95 | ||
| PE1 | 0.77 | 101.22 | 14.58 | 71.52 | 187.32 | ||
| PD2 | 0.72 | 94.64 | 14.58 | 71.52 | 180.74 | ||
| PD1 | 0.70 | 92.02 | 14.58 | 71.52 | 178.12 | ||
| PC2 | 0.65 | 85.44 | 14.58 | 71.52 | 171.54 | ||
| PC1 | 0.64 | 84.13 | 14.58 | 71.52 | 170.23 | ||
| PB2 | 0.51 | 67.04 | 14.58 | 71.52 | 153.14 | ||
| PB1 | 0.50 | 65.73 | 14.58 | 71.52 | 151.83 | ||
| PA2 | 0.49 | 64.41 | 14.58 | 71.52 | 150.51 | ||
| PA1 | 0.46 | 60.47 | 14.58 | 71.52 | 146.57 |
| RUG-53 category | Nursing index | Therapy index | Nursing component | Therapy component | Non-case mix therapy comp | Non-case mix component | Total rate |
|---|---|---|---|---|---|---|---|
| RUX | 1.90 | 2.25 | 249.76 | 268.90 | 71.52 | 590.18 | |
| RUL | 1.40 | 2.25 | 184.03 | 268.90 | 71.52 | 524.45 | |
| RVX | 1.54 | 1.41 | 202.43 | 168.51 | 71.52 | 442.46 | |
| RVL | 1.33 | 1.41 | 174.83 | 168.51 | 71.52 | 414.86 | |
| RHX | 1.42 | 0.94 | 186.66 | 112.34 | 71.52 | 370.52 | |
| RHL | 1.37 | 0.94 | 180.09 | 112.34 | 71.52 | 363.95 | |
| RMX | 1.93 | 0.77 | 253.70 | 92.02 | 71.52 | 417.24 | |
| RML | 1.68 | 0.77 | 220.84 | 92.02 | 71.52 | 384.38 | |
| RLX | 1.31 | 0.43 | 172.20 | 51.39 | 71.52 | 295.11 | |
| RUC | 1.28 | 2.25 | 168.26 | 268.90 | 71.52 | 508.68 | |
| RUB | 0.99 | 2.25 | 130.14 | 268.90 | 71.52 | 470.56 | |
| RUA | 0.84 | 2.25 | 110.42 | 268.90 | 71.52 | 450.84 | |
| RVC | 1.23 | 1.41 | 161.68 | 168.51 | 71.52 | 401.71 | |
| RVB | 1.09 | 1.41 | 143.28 | 168.51 | 71.52 | 383.31 | |
| RVA | 0.82 | 1.41 | 107.79 | 168.51 | 71.52 | 347.82 | |
| RHC | 1.22 | 0.94 | 160.37 | 112.34 | 71.52 | 344.23 | |
| RHB | 1.11 | 0.94 | 145.91 | 112.34 | 71.52 | 329.77 | |
| RHA | 0.94 | 0.94 | 123.56 | 112.34 | 71.52 | 307.42 | |
| RMC | 1.15 | 0.77 | 151.17 | 92.02 | 71.52 | 314.71 | |
| RMB | 1.09 | 0.77 | 143.28 | 92.02 | 71.52 | 306.82 | |
| RMA | 1.04 | 0.77 | 136.71 | 92.02 | 71.52 | 300.25 | |
| RLB | 1.14 | 0.43 | 149.85 | 51.39 | 71.52 | 272.76 | |
| RLA | 0.85 | 0.43 | 111.73 | 51.39 | 71.52 | 234.64 | |
| SE3 | 1.86 | 244.50 | 14.58 | 71.52 | 330.60 | ||
| SE2 | 1.49 | 195.86 | 14.58 | 71.52 | 281.96 | ||
| SE1 | 1.26 | 165.63 | 14.58 | 71.52 | 251.73 | ||
| SSC | 1.23 | 161.68 | 14.58 | 71.52 | 247.78 | ||
| SSB | 1.13 | 148.54 | 14.58 | 71.52 | 234.64 | ||
| SSA | 1.10 | 144.60 | 14.58 | 71.52 | 230.70 | ||
| CC2 | 1.22 | 160.37 | 14.58 | 71.52 | 246.47 | ||
| CC1 | 1.06 | 139.34 | 14.58 | 71.52 | 225.44 | ||
| CB2 | 0.98 | 128.82 | 14.58 | 71.52 | 214.92 | ||
| CB1 | 0.91 | 119.62 | 14.58 | 71.52 | 205.72 | ||
| CA2 | 0.90 | 118.31 | 14.58 | 71.52 | 204.41 | ||
| CA1 | 0.80 | 105.16 | 14.58 | 71.52 | 191.26 | ||
| IB2 | 0.74 | 97.27 | 14.58 | 71.52 | 183.37 | ||
| IB1 | 0.72 | 94.64 | 14.58 | 71.52 | 180.74 | ||
| IA2 | 0.61 | 80.18 | 14.58 | 71.52 | 166.28 | ||
| IA1 | 0.56 | 73.61 | 14.58 | 71.52 | 159.71 | ||
| BB2 | 0.73 | 95.96 | 14.58 | 71.52 | 182.06 | ||
| BB1 | 0.69 | 90.70 | 14.58 | 71.52 | 176.80 | ||
| BA2 | 0.60 | 78.87 | 14.58 | 71.52 | 164.97 | ||
| BA1 | 0.52 | 68.35 | 14.58 | 71.52 | 154.45 | ||
| PE2 | 0.85 | 111.73 | 14.58 | 71.52 | 197.83 | ||
| PE1 | 0.82 | 107.79 | 14.58 | 71.52 | 193.89 | ||
| PD2 | 0.78 | 102.53 | 14.58 | 71.52 | 188.63 | ||
| PD1 | 0.76 | 99.90 | 14.58 | 71.52 | 186.00 | ||
| PC2 | 0.71 | 93.33 | 14.58 | 71.52 | 179.43 | ||
| PC1 | 0.69 | 90.70 | 14.58 | 71.52 | 176.80 | ||
| PB2 | 0.55 | 72.30 | 14.58 | 71.52 | 158.40 | ||
| PB1 | 0.54 | 70.98 | 14.58 | 71.52 | 157.08 | ||
| PA2 | 0.53 | 69.67 | 14.58 | 71.52 | 155.77 | ||
| PA1 | 0.50 | 65.73 | 14.58 | 71.52 | 151.83 |
D. Wage Index Adjustment to Federal Rates
Section 1888(e)(4)(G)(ii) of the Act requires that we adjust the Federal rates to account for differences in area wage levels, using a wage index that we find appropriate. Since the inception of a PPS for SNFs, we have used hospital wage data in developing a wage index to be applied to SNFs. We are continuing that practice for FY 2006.
1. Proposal To Incorporate the Revised OMB Definitions for Metropolitan Statistical Areas and Combined Statistical Areas
In the FY 2006 SNF PPS proposed rule, we proposed to incorporate into the SNF PPS the revised OMB definitions for Metropolitan Statistical Areas, as well as the new definitions of Micropolitan Statistical Areas and CombinedStatistical Areas. For a full discussion of this proposal, see our FY 2006 proposed rule (70 FR 29090-94). We also invited comments on the appropriateness of implementing this change through a transition period similar to that adopted under the inpatient hospital PPS (IPPS)(70 FR 29095). The following is a discussion of the comments that we received on this issue.
Comment: A number of commenters questioned the continued use of the hospital wage index, and suggested that, rather than using the hospital wage index to implement the OMB designations, CMS postpone action until a SNF-specific wage index can be created. Commenters also recommended adopting policies included in the IPPS, such as the creation of a geographic reclassification policy for SNFs and the introduction of a "rural floor" (ensuring that no urban wage index value is lower than the State-wide rural wage index.
Response: As part of our ongoing program analysis, we periodically reevaluate the suitability of establishing a SNF-specific wage index and a provider reclassification methodology. However, as we noted in the FY 2004 SNF PPS final rule when this issue was raised previously (68 FR 46046, August 4, 2003), in view of the volatility of existing SNF wage data and the significant amount of resources that would be required to improve the quality of that data, we do not expect to propose a SNF-specific wage index until we can demonstrate that it would significantly improve our ability to determine payment for facilities and justify the resources required to collect the data, as well as the increased burden on providers.
In addition, we note that the development of the hospital wage data can also be scrutinized and evaluated by the SNF industry when commenting on the hospital proposed rule that is published each spring. Therefore, because of the problems associated with the current SNF-specific data, and our inability to demonstrate that a SNF-specific wage index would be more reflective of the wages and salaries paid in a specific area, we continue to believe that hospital wage data are the most appropriate data for adjusting payments made to SNFs.
We also noted in the FY 2004 final rule that while section 315 of the BIPA does authorize the SNF PPS to use a reclassification methodology that would allow providers to seek geographic reclassification, it specifically provides that such reclassification cannot be implemented until we have collected the data necessary to establish a SNF-specific wage index. At that time, we also invited input from the industry that could demonstrate that the adoption of a "rural floor" would provide a more accurate wage index. To date, however, we have not received evidence that such an approach would, in fact, accomplish this result. Accordingly, we are not adopting these suggested changes at this time.
Comment: Several commenters recommended that we withdraw or postpone implementation of this provision because the fiscal impact of the wage index changes have a disproportionate effect on different facilities or in different localities. One commenter also questioned whether CMS has the legislative authority to implement the OMB designations, as the SNF PPS structure distinguishes between urban and rural providers, but doesn't include a category for micropolitan areas.
Response: The statute provides the Secretary with broad authority to select an appropriate wage index, and we believe that the adoption of these OMB designations is consistent with and in compliance with the statutory authority. We further understand that impact on providers based on the wage index adjustments (which, by statute, must be accomplished in a budget neutral manner) will always vary as an inherent aspect of such adjustments, and would occur regardless of whether we continue to use the current MSA designations or use the more accurate CBSA designations established by OMB in June 2003. Therefore, we continue to believe that an appropriate wage index includes the CBSA designations described in the proposed rule.
Comment: A large number of commenters urged CMS to develop a transition policy to minimize the fiscal impact of the transition to the OMB designations. Many commenters urged CMS to adopt broad protections for facilities against changes in the wage index due to the adoption of the newOMB designations. Commenters offered various recommendations about how to provide such protection. Some advocated transition mechanisms such as blending wage index factors specifically for those facilities that would experience a wage index decrease (similar to the approach adopted under the IPPS), with a one to four year phase-in period to allow SNFs to make appropriate adjustments in their operations. In addition, many commenters recommended caps on gains and losses or a hold harmless provision for SNFs facing significant wage index reductions under the proposal.
Response: In the FY 2006 SNF PPS proposed rule, while we did not view it as appropriate or necessary to propose a transition period, we provided various transition options and specifically invited comments on our proposed approaches. We continue to recognize that some SNFs will experience decreases in their applicable wage index as a result of the conversion from the MSA to the CBSA structure. We also agree that it is appropriate to assist providers in adapting to these changes in a manner that provides the most benefit to the largest number of providers. Therefore, based in part upon the comments, we now agree that a transition period for SNFs would be appropriate and beneficial.
In evaluating transition options, we looked for approaches that would provide relief to the largest percentage of adversely affected SNFs with the least impact to the rest of the facilities, who either received small increases or remained the same. One possible approach that we considered would involve creating a floor (for example, at a 2 percent decrease), to be funded by also imposing a ceiling (for example, at a 5 percent gain). Instead, we have decided to use a 1-year transition with a blended wage index for all providers. The wage index for each provider will consist of a blend of 50 percent of the FY 2006 MSA-based wage index and 50 percent of the FY 2006 CBSA-based wage index (both using FY 2002 hospital wage data). We refer to this blended wage index as the FY 2006 SNF PPS transition wage index and these values can be found in the Addendum in Table A. This option achieves our objective of creating a transition policy that provides relief to the largest percentage of adversely affected SNFs with the least impact to the rest of the facilities. In addition, the 50/50 blend option allows us to achieve a high degree of stability in the unadjusted base rates. The adoption of this option results in only minimal change to the budget neutrality factor, from 1.0011 to 1.0012. In fact, the unadjusted base rates applicable to all SNFs actually show a slight increase.
Accordingly, as noted above, after consideration of these comments, we have modified the wage index proposal to include the transition policy discussed above. This transition policy is for a one-year period. It goes into effect October 1, 2005, and remains in effect throughSeptember 30, 2006. Thus, the transition will end at the start of FY 2007.
In addition, we solicited comments on approaches to calculating the wage index values for areas without hospitals for FY 2006 and subsequent years. We received no comments on our approach and we will implement the methodology described in the FY 2006 SNF PPS proposed rule(70 FR 29096).
2. Determining the Labor-Related Portion of the SNF PPSRate
The wage index adjustment is applied to the labor-related portion of the Federal rate, which is 75.922 percent of the total rate, as explained in section III.H.1 of this final rule. This percentage reflects the labor-related relative importance for FY 2006. The labor-related relative importance is calculated from the SNF market basket, and approximates the labor-related portion of the total costs after taking into account historical and projected price changes between the base year and FY 2006. The price proxies that move the different cost categories in the market basket do not necessarily change at the same rate, and the relative importance captures these changes. Accordingly, the relative importance figure more closely reflects the cost share weights for FY 2006 than the base year weights from the SNF market basket.
We calculate the labor-related relative importance for FY 2006 in four steps. First, we compute the FY 2006 price index level for the total market basket and each cost category of the market basket. Second, we calculate a ratio for each cost category by dividing the FY 2006 price index level for that cost category by the total market basket price index level. Third, we determine the FY 2006 relative importance for each cost category by multiplying this ratio by the base year (FY 1997) weight. Finally, we sum the FY 2006 relative importance for each of the labor-related cost categories (wages and salaries, employee benefits, nonmedical professional fees, labor-intensive services, and capital-related expenses) to produce the FY 2006 labor-related relative importance. Tables 6 and 7 show the Federal rates by labor-related and non-labor-related components for the existing 44-group RUG-III classification system. Tables 6a and 7a show the Federal rates by labor-related and non-labor-related components for the refined 53-group RUG classification system.
| RUG III category | Total rate | Labor portion | Non-labor portion |
|---|---|---|---|
| RUC | 482.28 | 366.16 | 116.12 |
| RUB | 434.12 | 329.59 | 104.53 |
| RUA | 410.73 | 311.83 | 98.90 |
| RVC | 371.83 | 282.30 | 89.53 |
| RVB | 359.44 | 272.89 | 86.55 |
| RVA | 327.80 | 248.87 | 78.93 |
| RHC | 341.00 | 258.89 | 82.11 |
| RHB | 313.49 | 238.01 | 75.48 |
| RHA | 287.34 | 218.15 | 69.19 |
| RMC | 335.77 | 254.92 | 80.85 |
| RMB | 299.99 | 227.76 | 72.23 |
| RMA | 282.11 | 214.18 | 67.93 |
| RLB | 267.51 | 203.10 | 64.41 |
| RLA | 224.86 | 170.72 | 54.14 |
| SE3 | 317.77 | 241.26 | 76.51 |
| SE2 | 275.12 | 208.88 | 66.24 |
| SE1 | 244.85 | 185.90 | 58.95 |
| SSC | 239.35 | 181.72 | 57.63 |
| SSB | 228.34 | 173.36 | 54.98 |
| SSA | 222.84 | 169.18 | 53.66 |
| CC2 | 237.97 | 180.67 | 57.30 |
| CC1 | 220.08 | 167.09 | 52.99 |
| CB2 | 209.08 | 158.74 | 50.34 |
| CB1 | 199.45 | 151.43 | 48.02 |
| CA2 | 198.07 | 150.38 | 47.69 |
| CA1 | 187.06 | 142.02 | 45.04 |
| IB2 | 178.81 | 135.76 | 43.05 |
| IB1 | 176.06 | 133.67 | 42.39 |
| IA2 | 162.30 | 123.22 | 39.08 |
| IA1 | 156.79 | 119.04 | 37.75 |
| BB2 | 177.43 | 134.71 | 42.72 |
| BB1 | 173.30 | 131.57 | 41.73 |
| BA2 | 160.92 | 122.17 | 38.75 |
| BA1 | 149.91 | 113.81 | 36.10 |
| PE2 | 192.57 | 146.20 | 46.37 |
| PE1 | 189.81 | 144.11 | 45.70 |
| PD2 | 182.93 | 138.88 | 44.05 |
| PD1 | 180.18 | 136.80 | 43.38 |
| PC2 | 173.30 | 131.57 | 41.73 |
| PC1 | 171.93 | 130.53 | 41.40 |
| PB2 | 154.04 | 116.95 | 37.09 |
| PB1 | 152.67 | 115.91 | 36.76 |
| PA2 | 151.29 | 114.86 | 36.43 |
| PA1 | 147.16 | 111.73 | 35.43 |
| RUG-53 category | Total rate | Labor portion | Non-labor portion |
|---|---|---|---|
| RUX | 564.83 | 428.83 | 136.00 |
| RUL | 496.04 | 376.60 | 119.44 |
| RVX | 428.24 | 325.13 | 103.11 |
| RVL | 399.34 | 303.19 | 96.15 |
| RHX | 363.02 | 275.61 | 87.41 |
| RHL | 356.14 | 270.39 | 85.75 |
| RMX | 415.57 | 315.51 | 100.06 |
| RML | 381.17 | 289.39 | 91.78 |
| RLX | 295.03 | 223.99 | 71.04 |
| RUC | 479.53 | 364.07 | 115.46 |
| RUB | 439.62 | 333.77 | 105.85 |
| RUA | 418.99 | 318.11 | 100.88 |
| RVC | 385.59 | 292.75 | 92.84 |
| RVB | 366.32 | 278.12 | 88.20 |
| RVA | 329.17 | 249.91 | 79.26 |
| RHC | 335.50 | 254.72 | 80.78 |
| RHB | 320.36 | 243.22 | 77.14 |
| RHA | 296.97 | 225.47 | 71.50 |
| RMC | 308.25 | 234.03 | 74.22 |
| RMB | 299.99 | 227.76 | 72.23 |
| RMA | 293.11 | 222.53 | 70.58 |
| RLB | 271.64 | 206.23 | 65.41 |
| RLA | 231.74 | 175.94 | 55.80 |
| SE3 | 339.79 | 257.98 | 81.81 |
| SE2 | 288.88 | 219.32 | 69.56 |
| SE1 | 257.23 | 195.29 | 61.94 |
| SSC | 253.11 | 192.17 | 60.94 |
| SSB | 239.35 | 181.72 | 57.63 |
| SSA | 235.22 | 178.58 | 56.64 |
| CC2 | 251.73 | 191.12 | 60.61 |
| CC1 | 229.72 | 174.41 | 55.31 |
| CB2 | 218.71 | 166.05 | 52.66 |
| CB1 | 209.08 | 158.74 | 50.34 |
| CA2 | 207.70 | 157.69 | 50.01 |
| CA1 | 193.94 | 147.24 | 46.70 |
| IB2 | 185.69 | 140.98 | 44.71 |
| IB1 | 182.93 | 138.88 | 44.05 |
| IA2 | 167.80 | 127.40 | 40.40 |
| IA1 | 160.92 | 122.17 | 38.75 |
| BB2 | 184.31 | 139.93 | 44.38 |
| BB1 | 178.81 | 135.76 | 43.05 |
| BA2 | 166.42 | 126.35 | 40.07 |
| BA1 | 155.42 | 118.00 | 37.42 |
| PE2 | 200.82 | 152.47 | 48.35 |
| PE1 | 196.69 | 149.33 | 47.36 |
| PD2 | 191.19 | 145.16 | 46.03 |
| PD1 | 188.44 | 143.07 | 45.37 |
| PC2 | 181.56 | 137.84 | 43.72 |
| PC1 | 178.81 | 135.76 | 43.05 |
| PB2 | 159.54 | 121.13 | 38.41 |
| PB1 | 158.17 | 120.09 | 38.08 |
| PA2 | 156.79 | 119.04 | 37.75 |
| PA1 | 152.67 | 115.91 | 36.76 |
| RUG III category | Total rate | Labor portion | Non-labor portion |
|---|---|---|---|
| RUC | 511.31 | 388.20 | 123.11 |
| RUB | 465.30 | 353.27 | 112.03 |
| RUA | 442.95 | 336.30 | 106.65 |
| RVC | 388.57 | 295.01 | 93.56 |
| RVB | 376.74 | 286.03 | 90.71 |
| RVA | 346.50 | 263.07 | 83.43 |
| RHC | 349.49 | 265.34 | 84.15 |
| RHB | 323.20 | 245.38 | 77.82 |
| RHA | 298.22 | 226.41 | 71.81 |
| RMC | 341.00 | 258.89 | 82.11 |
| RMB | 306.82 | 232.94 | 73.88 |
| RMA | 289.73 | 219.97 | 69.76 |
| RLB | 268.82 | 204.09 | 64.73 |
| RLA | 228.07 | 173.16 | 54.91 |
| SE3 | 309.57 | 235.03 | 74.54 |
| SE2 | 268.82 | 204.09 | 64.73 |
| SE1 | 239.90 | 182.14 | 57.76 |
| SSC | 234.64 | 178.14 | 56.50 |
| SSB | 224.12 | 170.16 | 53.96 |
| SSA | 218.86 | 166.16 | 52.70 |
| CC2 | 233.32 | 177.14 | 56.18 |
| CC1 | 216.24 | 164.17 | 52.07 |
| CB2 | 205.72 | 156.19 | 49.53 |
| CB1 | 196.52 | 149.20 | 47.32 |
| CA2 | 195.20 | 148.20 | 47.00 |
| CA1 | 184.69 | 140.22 | 44.47 |
| IB2 | 176.80 | 134.23 | 42.57 |
| IB1 | 174.17 | 132.23 | 41.94 |
| IA2 | 161.03 | 122.26 | 38.77 |
| IA1 | 155.77 | 118.26 | 37.51 |
| BB2 | 175.49 | 133.24 | 42.25 |
| BB1 | 171.54 | 130.24 | 41.30 |
| BA2 | 159.71 | 121.26 | 38.45 |
| BA1 | 149.20 | 113.28 | 35.92 |
| PE2 | 189.95 | 144.21 | 45.74 |
| PE1 | 187.32 | 142.22 | 45.10 |
| PD2 | 180.74 | 137.22 | 43.52 |
| PD1 | 178.12 | 135.23 | 42.89 |
| PC2 | 171.54 | 130.24 | 41.30 |
| PC1 | 170.23 | 129.24 | 40.99 |
| PB2 | 153.14 | 116.27 | 36.87 |
| PB1 | 151.83 | 115.27 | 36.56 |
| PA2 | 150.51 | 114.27 | 36.24 |
| PA1 | 146.57 | 111.28 | 35.29 |
| RUG-53 category | Total rate | Labor portion | Non-labor portion |
|---|---|---|---|
| RUX | 590.18 | 448.08 | 142.10 |
| RUL | 524.45 | 398.17 | 126.28 |
| RVX | 442.46 | 335.92 | 106.54 |
| RVL | 414.86 | 314.97 | 99.89 |
| RHX | 370.52 | 281.31 | 89.21 |
| RHL | 363.95 | 276.32 | 87.63 |
| RMX | 417.24 | 316.78 | 100.46 |
| RML | 384.38 | 291.83 | 92.55 |
| RLX | 295.11 | 224.05 | 71.06 |
| RUC | 508.68 | 386.20 | 122.48 |
| RUB | 470.56 | 357.26 | 113.30 |
| RUA | 450.84 | 342.29 | 108.55 |
| RVC | 401.71 | 304.99 | 96.72 |
| RVB | 383.31 | 291.02 | 92.29 |
| RVA | 347.82 | 264.07 | 83.75 |
| RHC | 344.23 | 261.35 | 82.88 |
| RHB | 329.77 | 250.37 | 79.40 |
| RHA | 307.42 | 233.40 | 74.02 |
| RMC | 314.71 | 238.93 | 75.78 |
| RMB | 306.82 | 232.94 | 73.88 |
| RMA | 300.25 | 227.96 | 72.29 |
| RLB | 272.76 | 207.08 | 65.68 |
| RLA | 234.64 | 178.14 | 56.50 |
| SE3 | 330.60 | 251.00 | 79.60 |
| SE2 | 281.96 | 214.07 | 67.89 |
| SE1 | 251.73 | 191.12 | 60.61 |
| SSC | 247.78 | 188.12 | 59.66 |
| SSB | 234.64 | 178.14 | 56.50 |
| SSA | 230.70 | 175.15 | 55.55 |
| CC2 | 246.47 | 187.12 | 59.35 |
| CC1 | 225.44 | 171.16 | 54.28 |
| CB2 | 214.92 | 163.17 | 51.75 |
| CB1 | 205.72 | 156.19 | 49.53 |
| CA2 | 204.41 | 155.19 | 49.22 |
| CA1 | 191.26 | 145.21 | 46.05 |
| IB2 | 183.37 | 139.22 | 44.15 |
| IB1 | 180.74 | 137.22 | 43.52 |
| IA2 | 166.28 | 126.24 | 40.04 |
| IA1 | 159.71 | 121.26 | 38.45 |
| BB2 | 182.06 | 138.22 | 43.84 |
| BB1 | 176.80 | 134.23 | 42.57 |
| BA2 | 164.97 | 125.25 | 39.72 |
| BA1 | 154.45 | 117.26 | 37.19 |
| PE2 | 197.83 | 150.20 | 47.63 |
| PE1 | 193.89 | 147.21 | 46.68 |
| PD2 | 188.63 | 143.21 | 45.42 |
| PD1 | 186.00 | 141.21 | 44.79 |
| PC2 | 179.43 | 136.23 | 43.20 |
| PC1 | 176.80 | 134.23 | 42.57 |
| PB2 | 158.40 | 120.26 | 38.14 |
| PB1 | 157.08 | 119.26 | 37.82 |
| PA2 | 155.77 | 118.26 | 37.51 |
| PA1 | 151.83 | 115.27 | 36.56 |
3. Calculating the Budget Neutrality Factor
Section 1888(e)(4)(G)(ii) of the Act also requires that we apply this wage index in a manner that does not result in aggregate payments that are greater or lesser than would otherwise be made in the absence of the wage adjustment. For FY 2006 (Federal rates effective October 1, 2005), we are applying the wage index applicable to SNF payments using the most recent hospital wage data applicable to FY 2006 payments (as discussed previously in section III.D.1 of this final rule), and applying an adjustment to fulfill the budget neutrality requirement. This requirement is met by multiplying each of the components of the unadjusted Federal rates by a factor equal to the ratio of the volume weighted mean wage adjustment factor (using the wage index from the previous year) to the volume weighted mean wage adjustment factor, using the wage index for the fiscal year beginning October 1, 2005. The same volume weights are used in both the numerator and denominator and were derived from 1997 Medicare Provider Analysis and Review File (MEDPAR) data. The wage adjustment factor used in this calculation is defined as the labor share of the rate component multiplied by the wage index plus the non-labor share. The budget neutrality factor has been recalculated to reflect the addition of a transition policy. Effective October 1, 2005, we will adopt a budget neutrality factor of 1.0012.In order to give the public a sense of the magnitude of this adjustment, last year's factor was 1.0011.
E. Updates to the Federal Rates
In accordance with section 1888(e)(4)(E) of the Act, the final payment rates listed here reflect an update equal to the full SNF market basket, which equals 3.1 percent.
We will continue to disseminate the rates, wage index, and case-mix classification methodology in the Federal Register before August 1 preceding the start of each succeeding fiscal year. Along with a number of other revisions discussed elsewhere in this preamble, this final rule provides the annual updates to the Federal rates as required by statute.
F. Relationship of Case-Mix Classification System to Existing SNF Level-of-Care Criteria
As discussed in § 413.345, we include in each update of the Federal payment rates in the Federal Register the designation of those specific RUGs under the classification system that represent the required SNF level of care, as provided in § 409.30. This designation reflects an administrative presumption that we initially adopted under the original 44-group RUG-III classification system. Under the presumption, any beneficiary correctly assigned to one of the upper 26 of the 44 RUG-III groups in the initial 5-day, Medicare-required assessment is automatically classified as meeting the SNF level of care definition up to the assessment reference date (ARD) for that assessment.
A beneficiary assigned to any of the lower 18 of the 44 RUG-III groups is not automatically classified as either meeting or not meeting the definition, but instead receives an individual level of care determination using the existing administrative criteria. This presumption recognizes the strong likelihood that beneficiaries assigned to one of the upper 26 groups during the immediate post-hospital period require a covered level of care, which would be significantly less likely for those beneficiaries assigned to one of the lower 18 groups.
1. Proposals on the 9 New Rehabilitation Plus Extensive Services Groups
In the FY 2006 SNF PPS proposed rule, we noted that the 9 new Rehabilitation plus Extensive Services groups that we proposed to add at the top of the existing RUG-III hierarchy would effectively encompass care "* * * that is at least as intensive as that identified by any of the upper 26 RUG-III groups under the original, 44-group RUG-III classification system." Accordingly, with the adoption of those 9 new groups as discussed elsewhere in this final rule (and as proposed), we hereby designate as representing a covered level of care under the administrative presumption the upper 35 groups of the refined case-mix classification system (including the upper 26 groups that were previously so designated under the original 44-group system, plus the additional 9 Rehabilitation plus ExtensiveServices groups that we are now adopting), consisting of the following RUG classifications:
• All groups within the new Rehabilitation plusExtensive Services category;
• All groups within the Ultra High Rehabilitation category;
• All groups within the Very High Rehabilitation category;
• All groups within the High Rehabilitation category;
• All groups within the Medium Rehabilitation category;
• All groups within the Low Rehabilitation category;
• All groups within the Extensive Services category;
• All groups within the Special Care category; and
• All groups within the Clinically Complex category.
Comment: Commenters consistently supported the extension of the administrative presumption to the nine new RUG groups.
Response: We appreciate the commenters' support, and will implement this provision as proposed without modification.
G. Example of Computation of Adjusted PPS Rates and SNF Payment
As explained in section II., from October 1, 2005, through December 31, 2005, we will make payment based entirely on the existing 44-group RUG-III classification system (including any associated add-on payments). Using the model SNF (XYZ) described in Table 10, the following shows the adjustments made to the Federal per diem rate to compute the provider's actual per diem PPS for the time period mentioned above using the existing 44-group RUG-III classification system.
Beginning January 1, 2006, we will make payment based on the refined RUG-53 classification system (and, thus, would not include the add-on payments). Table 10a shows an example of the actual per diem PPS payments under the RUG-53 classification system.
The Labor and Non-labor columns are derived from Tables 6 or 6a. In addition, the adjustment for residents with AIDS enacted in section 511 of the MMA is reflected in Tables 10 and 10a.
| RUG group | Labor | Wage index | Adjusted labor | Non-labor | Adjusted rate | Percent adjustment | Medicare days | Payment |
|---|---|---|---|---|---|---|---|---|
| RVC | $282.30 | 0.8710 | $245.88 | $89.53 | $335.41 | *$357.88 | 14 | $5,010 |
| RHA | 218.15 | 0.8710 | 190.01 | 69.19 | 259.20 | *276.57 | 16 | 4,425 |
| CC2 | 180.67 | 0.8710 | 157.36 | 57.30 | 214.66 | **489.42 | 10 | 4,894 |
| SSC | 181.72 | 0.8710 | 158.28 | 57.63 | 215.91 | ***259.09 | 30 | 7,773 |
| IA2 | 123.22 | 0.8710 | 107.32 | 39.08 | 146.40 | 146.40 | 30 | 4,392 |
| Total | 100 | 26,494 | ||||||
| *Reflects a 6.7 percent adjustment from section 314 of the BIPA. | ||||||||
| **Reflects a 128 percent adjustment from section 511 of the MMA. Section 101(a) of the BBRA no longer applies because of the MMA section 511 adjustment. | ||||||||
| ***Reflects a 20 percent adjustment from section 101(a) of the BBRA. | ||||||||
| RUG group | Labor | Wage index | Adjusted labor | Non-labor | Adjusted rate | Percent adjustment | Medicare days | Payment |
|---|---|---|---|---|---|---|---|---|
| RVX | $325.13 | 0.871 | $283.19 | $103.11 | $386.30 | $386.30 | 14 | $5,408 |
| RHA | 225.47 | 0.871 | 196.38 | 71.50 | 267.88 | 267.88 | 16 | 4,286 |
| CC2 | 191.12 | 0.871 | 166.47 | 60.61 | 227.08 | 517.73 | 10 | 5,177 |
| RLX | 223.99 | 0.871 | 195.10 | 71.04 | 266.14 | 266.14 | 30 | 7,984 |
| IA2 | 127.40 | 0.871 | 110.97 | 40.40 | 151.37 | 151.37 | 30 | 4,541 |
| Total | 100 | 27,396 | ||||||
| * Reflects a 128 percent adjustment from section 511 of the MMA. | ||||||||
H. SNF Market Basket Index
1. Background
Section 1888(e)(5)(A) of the Act requires us to establish a SNF market basket index (input price index) that reflects changes over time in the prices of an appropriate mix of goods and services included in the SNF PPS. This final rule incorporates the latest available projections of the SNF market basket index. Accordingly, we have developed a SNF market basket index that encompasses the most commonly used cost categories for SNF routine services, ancillary services, and capital-related expenses. In the July 31, 2001 Federal Register (66 FR 39562), we included a complete discussion on the rebasing of the SNF market basket to FY 1997. There are 21 separate cost categories and respective price proxies.These cost categories were illustrated in Table 10.A, Table 10.B, and Appendix A, along with other relevant information, in the July 31, 2001 Federal Register .
Each year, we calculate a revised labor-related share based on the relative importance of labor-related cost categories in the input price index. Table 11 summarizes the updated labor-related share for FY 2006.
| Relative importance, labor-related, FY 2005 (97 index) | Relative importance, labor-related, FY 2006 (97 index) | |
|---|---|---|
| Wages and salaries | 54.356 | 54.391 |
| Employee benefits | 11.506 | 11.648 |
| Nonmedical professional fees | 2.708 | 2.739 |
| Labor-intensive services | 4.114 | 4.128 |
| Capital-related | 3.092 | 3.016 |
| Total | 75.776 | 75.922 |
| Source: Global Insights, Inc., formerly DRI-WEFA, 2nd Quarter, 2005. | ||
2. Use of the SNF Market Basket Percentage
Section 1888(e)(5)(B) of the Act defines the SNF market basket percentage as the percentage change in the SNF market basket index, as described in the previous section, from the average index level of the prior fiscal year to the average index level of the current fiscal year. For the Federal rates established in this final rule, this percentage increase in the SNF market basket index is used to compute the update factor occurring between FY 2005 and FY 2006. We used the Global Insights, Inc. (formerlyDRI-WEFA), 2nd quarter 2005 forecasted percentage increase in the FY 1997-based SNF market basket index for routine, ancillary, and capital-related expenses, described in the previous section, to compute the update factor.
Comment: The current SNF market basket is based on FY 1997 Medicare cost report data. Several commenters requested that CMS utilize more up-to-date cost reports in the SNF market basket in order to produce more accurate and representative weights for the various cost categories, such as compensation and pharmaceuticals. They also requested that CMS review the price proxies used in the market basket, specifically the Employment Cost Index (ECI) for wages and salaries for Private Nursing Homes. This price proxy includes wage price data for SNFs as well as for other nursing and long-term care facilities. One commenter claimed the staffing mix in a SNF is much different than in these other types of facilities. Finally, a few commenters suggested that CMS collect SNF-specific labor data provided by the SNF industry.
Response: CMS is considering revising and rebasing the SNF market basket in the near future. We would expect to use the most recent and complete SNF Medicare cost reports available. Moreover, we would use the SNF Medicare cost reports to develop as many viable cost category weights (such as wages and salaries, benefits, contract labor, and pharmaceuticals) as possible. We also plan to review alternative price proxies based on our criteria of relevance, reliability, timeliness, and public availability. We will include a detailed discussion of our analysis when we propose a revised and rebased SNF market basket, and will also provide an opportunity for public comment.
Comment: Several commenters requested that the SNF rebasing follow the same frequency planned for IPPS hospital rebasing, currently set at every four years.
Response: As noted above, we intend to revise and rebase the SNF market basket in the near future, and we would use the most recent and complete SNF Medicare cost reports available to do this. We will keep the commenters' suggestions in mind in considering whether to establish a schedule for rebasing the SNF market basket.
Comment: Several commenters requested that the SNF market basket be revised to reflect industry data and CMS's own data, which show that prescription drugs represent more than 10 percent of SNF costs. They cite the CMS Health Care Financing Review , which shows that Medicare SNF facility charges for pharmaceuticals from 1997 to 2001 represent over 10 percent of total Medicare SNF facility charges. Also, one commenter stated the pharmaceutical cost weight was derived using a combination of nursing facility and hospital cost reports.
Response: The market basket is intended to reflect the average change in the price of a basket of goods and services that SNFs purchase in order to furnish patient care. The current market basket is based on the purchasing behavior of SNFs in 1997. Preliminary analysis shows that both the FY 2002 and FY 2003 pharmaceutical cost weights(the cost of pharmaceuticals as a percent of total costs), based on freestanding SNF Medicare cost reports, are slightly below 3 percent, compared to 3 percent in the 1997-based SNF market basket. It would be inappropriate for the market basket weight to reflect trends in charges, which have little relationship to the actual costs incurred.
The pharmaceutical cost weight in the 1997-based SNF market basket is based on Medicare cost reports of freestanding SNF facilities. As discussed in the SNF PPS proposed rule for FY 2002, hospital cost report data were not used to derive this cost weight (66 FR 24013, May 10, 2001).
Comment: In view of the concern regarding the adequacy of the pharmaceutical cost weight included in the SNF market basket, we received a comment recommending that we identify discrepancies between the forecasted and actual cost of pharmaceuticals, and develop an adjustment mechanism similar to the forecast error correction policy described previously in section I.G of this final rule.
Response: As part of the forecast error correction, the difference between the projected and actual pharmaceutical price increases is incorporated. Therefore, it would be inappropriate to develop a separate mechanism.
Comment: One commenter suggested that CMS should study the effect of adding a separate weight for professional liability insurance (PLI), and should work with the SNF industry to determine how the weight should be calculated and how to develop an appropriate price index.
Response: We intend to review both SNF cost reports and other industry data to determine the feasibility of developing a weight and price proxy for PLI for SNFs. We look forward to working with the SNF industry on this effort, and have already received feedback about the nature of PLI for SNFs.
3. Market Basket Forecast Error Adjustment
As discussed in the June 10, 2003, supplemental proposed rule (68 FR 34768) and finalized in the August 4, 2003, final rule (68 FR 46067), the regulations at 42 CFR 413.337(d)(2) provide for an adjustment to account for market basket forecast error. The initial adjustment applied to the update of the FY 2003 rate that occurred in FY 2004, and took into account the cumulative forecast error for the period from FY 2000 through FY 2002. Subsequent adjustments in succeeding FYs take into account the forecast error from the most recently available fiscal year for which there is final data, and are applied whenever the difference between the forecasted and actual change in the market basket exceeds a 0.25 percentage point threshold. As discussed previously in section I.G of this final rule, as the difference between the estimated and actual amounts of increase in the market basket index for FY 2004 (the most recently available fiscal year for which there is final data) did not exceed the 0.25 percentage point threshold, the payment rates for FY 2006 do not include a forecast error adjustment.
4. Federal Rate Update Factor
Section 1888(e)(4)(E)(ii)(IV) of the Act requires that the update factor used to establish the FY 2006 Federal rates be at a level equal to the full market basket percentage change. Accordingly, to establish the update factor, we determined the total growth from the average market basket level for the period of October 1, 2004 through September 30, 2005 to the average market basket level for the period of October 1, 2005 throughSeptember 30, 2006. Using this process, the market basket update factor for FY 2006 SNF Federal rates is 3.1 percent.We used this revised update factor to compute the Federal portion of the SNF PPS rate shown in Tables 2 and 3.
I. Consolidated Billing
As established by section 4432(b) of the BBA, the consolidated billing requirement places with the SNF the Medicare billing responsibility for virtually all of the services that the SNF's residents receive, except for a small number of services that the statute specifically identifies as being excluded from this provision.Section 103 of the BBRA amended this provision by further excluding a number of high-cost, low probability services(identified by Healthcare Common Procedure Coding System(HCPCS) codes) within several broader categories that otherwise remained subject to the provision. Section 313 of the BIPA further amended this provision by repealing itsPart B aspect, that is, its applicability to services furnished to a resident during a SNF stay that Medicare does not cover. (However, physical and occupational therapy, and speech-language pathology services remain subject to consolidated billing, regardless of whether the resident who receives these services is in a covered Part A stay.) In addition, section 313 of the BIPA specified that consolidated billing applies only to services furnished to those individuals residing in an institution (or portion of an institution) that is actually certified by Medicare as a SNF. Further, as noted in section I.E. of this final rule, section 410 of the MMA revised the SNF consolidated billing requirement as to certain services furnished on or afterJanuary 1, 2005, by rural health clinics (RHCs) andFederally qualified health centers (FQHCs).
To date, the Congress has enacted no further legislation affecting the consolidated billing provision.However, as we noted in the April 10, 2000 proposed rule(65 FR 19232), section 1888(e)(2)(A)(iii) of the Act, as added by section 103 of the BBRA, not only identified for exclusion from this provision a number of particular service codes within four specified categories (that is, chemotherapy items, chemotherapy administration services, radioisotope services, and customized prosthetic devices), but " * * * also gives the Secretary the authority to designate additional, individual services for exclusion within each of the specified service categories." In the FY 2001 proposed rule, we also noted that the BBRAConference Report (H.R. Conf. Rep. No. 106-479 at 854) characterizes the individual services that this legislation targets for exclusion as "* * * high-cost, low probability events that could have devastating financial impacts because their costs far exceed the payment [SNFs] receive under the prospective payment system * * *." According to the conferees, section 103(a) "is an attempt to exclude from the PPS certain services and costly items that are provided infrequently in SNFs * * *." By contrast, we noted that the Congress declined to designate for exclusion any of the remaining services within those four categories(thus leaving all of those services subject to SNF consolidated billing), because they are relatively inexpensive and are furnished routinely in SNFs.
As we further explained in the July 31, 2000 final rule (65 FR 46790), any additional service codes that we might designate for exclusion under our discretionary authority must meet the same criteria that the Congress used in identifying the original codes excluded from consolidated billing under section 103(a) of the BBRA:They must fall within one of the four service categories specified in the BBRA, and they also must meet the same standards of high cost and low probability in the SNF setting. Accordingly, we characterized this statutory authority to identify additional service codes for exclusion"* * * as essentially affording the flexibility to revise the list of excluded codes in response to changes of major significance that may occur over time (for example, the development of new medical technologies or other advances in the state of medical practice)"(65 FR 46791). In view of the amount of time that has elapsed since we last invited comments on this issue, we invited public comments in the FY 2006 SNF PPS proposed rule on codes in any of these four service categories which represent recent medical advances that might meet the BBRA criteria for exclusion from SNF consolidated billing (70 FR 29098).
Comment: Commenters proposed for exclusion particular services that fell within the four specified categories specified by section 103 of the BBRA (chemotherapy items, chemotherapy administration services, radioisotope services, and customized prosthetic devices).
Response: We will further examine whether these particular services should be excluded as we complete work on the 2006 annual updated list of the specific HCPCS codes that are excluded from consolidated billing, which we plan to issue this fall.
Comment: Noting that some chemotherapy drugs have two HCPCS codes assigned-both a C code and a J code-two commenters pointed out that a number of the chemotherapy medications that we exclude by J code also have C codes assigned to them. They asserted that hospital outpatient departments are mandated to use C codes when billingMedicare for some chemotherapy medications under the hospital outpatient prospective payment system and asked that we add the corresponding C codes for the following codes: J9040, J9060, J9065, J9070, J9093, J9100, J9130,J9150, J9181, J9200, J9208, J9211, J9265, and J9280.
Response: It is our understanding that hospital outpatient departments can, in fact, use J codes when billing Medicare for chemotherapy medications. Accordingly, at this time we see no need to add the corresponding C codes when the J code chemotherapy medications are already excluded.
Comment: Although the FY 2006 SNF PPS proposed rule specifically invited comments on possible exclusions within the specific service categories identified in the BBRA legislation, a number of commenters took this opportunity to reiterate concerns about other aspects of consolidated billing. For example, we received a number of comments concerning the possible exclusion of additional categories of services from SNF consolidated billing, beyond those specified in the BBRA. The commenters identified services such as barium swallows, video fluoroscopies, hyperbaric oxygen therapy, sterile larvae therapy, ultrasonic procedures and duplex scans, PET scans, and nuclear medicine as appropriate candidates for exclusion. In addition, a number of commenters recommended a further set of services for exclusion. These additional services are durable medical equipment (including, but not limited to, wound care devices and diabetic shoes), total parenteral nutrition (TPN), and specialized bariatric equipment.
Response: As we noted previously in the final rule of August 4, 2003 (68 FR 46060), the original set of consolidated billing exclusions at section 1888(e)(2)(A)(ii) of the Act (as enacted by section 4432(b) of the BBA) broadly excluded entire categories of services from consolidated billing (primarily, those of physicians and certain other types of medical practitioners). By contrast, the set of statutory exclusions at section 1888(e)(2)(A)(iii) of the Act, as subsequently enacted by section 103 of the BBRA, was more specifically targeted within a number of broader service categories. In the FY 2006 SNF PPS proposed rule, we noted that the original BBRA legislation (as well as the implementing regulations) provides the Secretary the authority to designate additional, individual services for exclusion within each of the BBRA-specified service categories. However, the statute does not provide the Secretary the authority to create additional categories of excluded services beyond those specified in the law. Therefore, based on the statute, we cannot exclude services and items from consolidated billing unless they fall into the categories of services provided in the statute.
Comment: Some commenters cited the existing list of exclusions (in § 411.15(p)(3)(iii)) for certain high-intensity outpatient hospital services, and expressed the view that these exclusions should not be limited to only those services that actually require the intensity of a hospital setting, but rather, should also encompass services furnished in other, nonhospital settings as well. As examples, they cited services such as magnetic resonance imaging (MRIs) and computerized axial tomography (CT) scans furnished in freestanding imaging centers, and radiation therapy furnished in physician's clinics or ambulatory care centers, all of which may be cheaper and more accessible in certain particular localities (such as rural settings) than those furnished by hospitals.
Response: As we noted in the May 12, 1998 interim final rule (63 FR 26298), in the July 31, 2000 final rule (65 FR 46790 through 46791), and again in the August 4, 2003 final rule (68 FR 46061), the exclusion of certain outpatient hospital services (in § 411.15(p)(3)(iii)) is targeted specifically at those services "* * * that, under commonly accepted standards of medical practice, lie exclusively within the purview of hospitals * * *" (emphasis added); that is, services which generally require the intensity of the hospital setting in order to be furnished safely and effectively. We have determined that this high level of outpatient hospital care is beyond the scope of SNF comprehensive care plans and should be excluded from consolidated billing. However, this exclusion does not encompass services furnished in any other health care setting. Thus, to the extent that advances in medical practice over time may make it feasible to perform such a service more widely in a less intensive, nonhospital setting, this would not argue in favor of excluding the nonhospital performance of the service from consolidated billing under these regulations, but rather, would call into question whether the service should continue to be excluded from consolidated billing at all, even when performed in the hospital setting. In addition, we note that unlike the outpatient hospital exclusions in § 411.15(p)(3)(iii), the statutory exclusions enacted by the BBRA for certain chemotherapy and other services apply regardless of the setting (hospital versus freestanding) in which the services are furnished. However, we do not have the authority to add services such as MRIs, CT scans, or radiation therapy to the existing statutory list administratively.
Comment: Several commenters also proposed expanding the list of excluded services by redefining categories of service that are currently excluded from consolidated billing. For example, while the BBRA excludes specific chemotherapy services by HCPCS codes, these commenters recommended not only adding to the list of excluded chemotherapy pharmaceuticals, but expanding the exclusion to encompass all related services associated with a chemotherapy treatment, such as supplies and other pharmaceuticals used to treat side effects. In addition, several commenters recommended exclusion of oral chemotherapy agents that are not separately billable to Medicare Part B for any beneficiary, and are currently covered only as part of the overall package of services furnished under the Part A inpatient hospital or SNF benefits.
Response: In the FY 2006 SNF PPS proposed rule, we noted that the BBRA's list of services excluded by HCPCS code is a targeted list, narrowly carving out only certain individual "high-cost, low probability" services within a number of broader service categories-such as chemotherapy services-that otherwise remained subject to consolidated billing. As we noted in the FY 2006 SNF PPS proposed rule, the BBRA provides the Secretary the authority to designate additional, individual services for exclusion within each of the service categories that it specifies. However, the statute does not provide authority to exclude other services that, while related, fall outside of the specified service categories themselves. For example, although anti-nausea drugs are commonly used in conjunction with chemotherapy, they are not in themselves chemotherapeutic agents and, consequently, do not fall within one of the excluded categories designated in the BBRA. Further, we believe that the Congress was clear in its intent regarding the particular items and services to be excluded from consolidated billing, by use of the HCPCS codes specified in the Act. Regarding the suggestion to exclude from consolidated billing those oral chemotherapy agents that are not separately billable to Part B (and are currently covered only under the Part A inpatient hospital and SNF benefits), we note that expanding the existing statutory drug coverage available under Part B to include those drugs is not within our authority.
We note that some chemotherapy pharmaceuticals that commenters proposed for exclusion have already been added to the list of HCPCS codes excluded from the consolidated billing provisions. The most recent annual update regarding HCPCS exclusions from consolidated billing can be found in Transmittal No. 360 (Change Request (CR) No. 3542), issued on November 5, 2004, which is available online at http://www.cms.hhs.gov/manuals/transmittals/comm_date_dsc.asp.
Comment: A few commenters requested an expansion of the existing Part B dialysis exclusion to encompass dialysis services furnished directly by the SNF. In addition, several commenters noted that erythropoietin (EPO or Aranesp) currently is excluded from consolidated billing only when furnished in conjunction with the Part B dialysis benefit, and they recommended expanding this exclusion to encompass its use in connection with other, non-dialysis forms of treatment (such as chemotherapy).
Response: As we noted previously in the final rule published on August 4, 2003 (68 FR 46062), under section 1888(e)(2)(A)(ii) of the Act, the exclusion of dialysis services from consolidated billing applies only to those services that meet the requirements for coverage under the separate Part B dialysis benefit at section 1861(s)(2)(F) of the Act. The Part B benefit allows for home dialysis and dialysis performed on the premises of a certified dialysis facility. By contrast, if the SNF itself elects to furnish dialysis services to a resident during a covered Part A stay (either directly with its own resources, or under an "arrangement" with a certified dialysis facility in which the SNF itself does the billing), the services are no longer considered Part B dialysis services, but instead are Part A SNF services. Accordingly, they would no longer be subject to the statutory exclusion of Part B dialysis services from consolidated billing, and would instead be bundled into the comprehensive PPS per diem payment that the SNF receives for the package of services that it furnishes during the resident's covered Part A stay.
Similarly, under section 1888(e)(2)(A)(ii) of the Act, the exclusion of EPO from consolidated billing applies only to those services that meet the requirements for coverage under the separate Part B EPO benefit at section 1861(s)(2)(O) of the Act. Section 1861(s)(2)(O) of the Act permits coverage of EPO and items related to its administration for those dialysis patients who can self-administer the drug, subject to methods and standards established by the Secretary for its safe and effective use (as described in § 405.2163(g) and (h)). Since EPO that is used for non-dialysis patients does not fall within the scope of section 1861(s)(2)(O) of the Act, that usage does not fall within the scope of the EPO exclusion from consolidated billing.
Comment: One commenter requested that we amend 42 CFR§ 409.20(a)(3) and 409.23 to add recreational therapy to the current list of rehabilitation services ( i.e. , physical and occupational therapy and speech-language pathology services).
Response: The purpose of the two above-cited sections of the regulations is to implement section 1861(h)(3) of the Act, which currently specifies that "* * * 'extended care services' means the following items and services furnished to an inpatient of a skilled nursing facility * * * (3) physical or occupational therapy or speech-language pathology services furnished by the skilled nursing facility or by others under arrangements with them made by the facility * * *." Notably, recreational therapy is not included in this statutory definition and we cannot adopt the commenter's request to revise the regulations.
J. Application of the SNF PPS to SNF Services Furnished by Swing-Bed Hospitals
In accordance with section 1888(e)(7) of the Act (as amended by section 203 of the BIPA), Part A pays critical access hospitals (CAHs) on a reasonable cost basis for SNF services furnished under a swing-bed agreement. However, as noted previously in section I.A. of this final rule, the services furnished by non-CAH rural hospitals are paid under the SNF PPS. In the July 31, 2001 final rule (66 FR 39562), we announced the conversion of swing-bed rural hospitals to the SNF PPS, effective with the start of the provider's first cost reporting period beginning on or after July 1, 2002. We selected this date consistent with the statutory provision to integrate swing-bed rural hospitals into the SNF PPS by the end of the SNF transition period, June 30, 2002.
As of June 30, 2003, all swing-bed rural hospitals have come under the SNF PPS. Therefore, the SNF PPS rates and wage indexes outlined in earlier sections of this final rule for SNFs also apply to all swing-bed rural hospitals. A complete discussion of assessment schedules, the MDS and the transmission software, Raven-SB for Swing Beds can be found in the July 31, 2001 final rule (66 FR 39562). The latest changes in the MDS for swing-bed rural hospitals are listed on our SNF PPS web site, http://www.cms.hhs.gov/providers/snfpps/default.asp .
K. Qualifying Three-Day Inpatient Hospital Stay Requirement
In the FY 2006 SNF PPS proposed rule, we noted that one of the prerequisites for Part A coverage under the Medicare SNF benefit is a qualifying hospital stay of at least 3 consecutive days, and that under current policy, only time following the formal inpatient admission to the hospital counts toward meeting this requirement. We invited comments on having patients spend time in observation status prior to a formal inpatient admission, and on the potential implications of this practice for the SNF benefit's qualifying 3-day hospital stay requirement.
Comment: Of the comments that we received on this issue, most expressed support for the idea that hospital time spent in observation status immediately preceding a formal inpatient admission should count toward satisfying the SNF benefit's statutory qualifying three-day hospital stay requirement, while some advocated eliminating the statutory requirement altogether. Still others recommended counting all time spent in the hospital (not only in observation status, but also in the emergency room as well), while some others supported counting the observation time but were opposed to counting time spent in the emergency room. Other commenters raised related issues regarding the availability of information in this area, such as the inability of existing CMS operating systems (including the claims and cost reporting systems) to accommodate the counting of observation time for this purpose without further modification, and the inability of SNFs to distinguish between observation and emergency room time spent in the hospital. Some of these commenters also suggested taking certain additional measures, such as requiring the hospital to certify that a beneficiary has met the SNF benefit's qualifying 3-day stay requirement (and to assume the financial liability for any related coverage denials), and examining ways in which SNFs can obtain better information from hospitals about the specific nature and duration of a patient's hospital stay.
Response: Regarding the comments that expressed support for repealing the statutory 3-day qualifying hospital stay requirement altogether, we note that such an action would require legislation by the Congress to amend the law itself and, thus, is beyond the scope of this final rule. Further, we do not share the belief expressed by some commenters that time spent in the emergency room is essentially comparable to observation time in this context. As we noted in the FY 2006 SNF PPS proposed rule, except for scheduled admissions, the emergency room generally serves as the overall point of entry into the hospital for most patients; thus, the mere presence of time spent in the emergency room prior to formal admission would not, in itself, serve to identify the degree of severity of a particular patient's condition during that time.
With regard to the comments that suggested other possible modifications to the 3-day inpatient hospital stay requirement, we note that we are continuing to review this issue, but are not yet ready to make a final determination at this time. As we observed in the FY 2006 SNF PPS proposed rule, the SNF benefit was never intended to cover long-term, relatively low-level "custodial" care; rather, the Congress envisioned this benefit more narrowly, in terms of serving as a less expensive alternative to what would otherwise be the final, convalescent portion of an acute care stay of several days as an inpatient at a hospital. Thus, any potential changes in the SNF benefit's qualifying hospital stay requirement would need to be carefully evaluated, in order to ensure that they accurately reflect Congressional intent in establishing the qualifying hospital stay requirement, and would not result in altering the unique nature of the SNF benefit in a manner that is inconsistent with that intent.
IV. Provisions of the Final Rule
In section III. above, "Analysis of and Responses to Public Comments on the FY 2006 SNF PPS Proposed Rule," we have added a statement at the end of each issue indicating our final decision either to adopt the provisions as set forth in the FY 2006 SNF PPS proposed rule or to make modifications based on public comments. However, all other changes, including clarifying and technical changes that are not issue-specific will be addressed in this section below.
Specifically, we are making the following technical correction in the regulations text, as discussed in the FY 2006 SNF PPS proposed rule: we are correcting the definition of "HCPCS" that appears in § 424.3, by removing the acronym "CMS" and adding the word "Healthcare" in its place.
Further, we note that we are taking this opportunity to make two additional technical corrections in Part 409 of the regulations. The first involves updating an obsolete citation that appears in several places in § 409.60(c). This section of the regulations sets forth several administrative presumptions that serve to help determine the end of a benefit period in a SNF, and it makes repeated references to an obsolete citation (§ 405.330) for the provision dealing with limitation of liability for care that is custodial or not reasonable and necessary. Accordingly, we are hereby updating that obsolete citation by replacing it with the current citation, § 411.400.
The other correction to Part 409 involves the regulations at 42 CFR 409.31(b)(2), which describe one aspect of the SNF level of care requirements. In a final rule published on August 22, 2003 (68 FR 50855), we added § 409.31(b)(2)(iii) regarding Medicare+Choice (M+C) enrollees. However, in republishing § 409.31(b)(2)(ii), we inadvertently omitted several words that previously had appeared in the text. Accordingly, we are now taking this opportunity to restore the missing language, so that § 409.31(b)(2)(ii) is revised to reflect its original complete and accurate language.
Finally, we note that in the FY 2004 final rule (68 FR 46060, 46070, August 4, 2003), we added two radiopharmaceuticals, Zevalin and Bexxar, to the list of chemotherapy drugs that are excluded from consolidated billing (and, thus, are separately billable to Part B when furnished to a SNF resident during a covered Part A stay). The final rule specified that regulation text at 42 CFR 411.15(p)(2)(xii) and 42 CFR 489.20(s)(12) list the Healthcare Common Procedure Coding System (HCPCS) codes for Zevalin (A9522 and A9523) "as of January 1, 2004." At the time the FY 2004 final rule was published, the codes for Bexxar were not yet available (see 68 FR 46060) but were about to be issued. Accordingly, we are now adding the initial Bexxar HCPCS codes to 42 CFR 411.15(p)(2)(xii) and 42 CFR 489.20(s)(12) effective "as of January 1, 2004." These codes for Bexxar are A9533 and A9534. As we clarified in the September 29, 2003 Federal Register (68 FR 55883), the HCPCS codes to be utilized in connection with Bexxar and Zevalin include any successor codes that may replace (or supplement) the codes currently listed in the regulation. Such successor codes are disseminated through program instructions.
V. Waiver of Proposed Rulemaking
Regarding the technical corrections to Parts 409, 411, and 489 of the regulations that we discuss in the preceding section, we note that we would ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before revisions in the regulations text would take effect; however, we can waive this procedure if we find good cause that a notice and comment procedure is impracticable, unnecessary, or contrary to the public interest and incorporate a statement of the finding and its reasons in the notice issued. We find it unnecessary to undertake notice and comment rulemaking in connection with these particular revisions, as they merely provide technical corrections to the regulations, without making any substantive changes. Therefore, for good cause, we waive notice and comment procedures for the revisions that we are making to the regulations text in Parts 409, 411, and 489.
VI. Collection of Information Requirements
This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq. ).
VII. Regulatory Impact Analysis
A. Overall Impact
We have examined the impacts of this final rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA, September 16, 1980, Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
Executive Order 12866 (as amended by Executive Order 13258, which merely reassigns responsibility of duties) directs agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis (RIA) must be prepared for major rules with economically significant effects ($100 million or more in any 1 year). This final rule is a major rule, as defined in Title 5, United States Code, section 804(2), because we estimate the impact to the Medicare program, and the annual effects to the overall economy, would be more than $100 million.
The RFA requires agencies to analyze options for regulatory relief of small businesses. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and government agencies. Most SNFs and most other providers and suppliers are small entities, either by their nonprofit status or by having revenues of $11.5 million or less in any 1 year. For purposes of the RFA, approximately 53 percent of SNFs are considered small businesses according to the Small Business Administration's latest size standards, with total revenues of $11.5 million or less in any 1 year (for further information, see 65 FR 69432, November 17, 2000). Individuals and States are not included in the definition of a small entity. In addition, approximately 29 percent of SNFs are nonprofit organizations.
This final rule updates the SNF PPS rates published in the FY 2005 update notice on July 30, 2004 (69 FR 45775) and the associated correction notices published on October 7, 2004 (69 FR 60158), and December 30, 2004(69 FR 78445).
In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a Metropolitan Statistical Area and has fewer than 100 beds. We anticipate that the impact on swing-bed facilities will be similar to the impact on rural hospital-based facilities, which benefit from the case-mix refinement (seeTable 12 below).
Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any 1 year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million or more. This final rule will not have a substantial effect on the governments mentioned, or on private sector costs.
Executive Order 13132 establishes certain requirements that an agency must meet when it promulgates a proposed rule (and subsequent final rule) that imposes substantial direct requirement costs on State and local governments, preempts State law, or otherwise has Federalism implications. As stated above, this final rule will not have a substantial effect on State and local governments.
B. Anticipated Effects
This final rule sets forth updates of the SNF PPS rates contained in the FY 2005 update notice (69 FR 45775) and the associated correction notices (69 FR 60158 and 69 FR 78445), and implements a refinement to the RUG-III case-mix classification system to be incorporated into the Medicare SNF PPS effective January 1, 2006.
As described in Section III., providers will continue to be paid under the current 44-group RUG-III system from October 1, 2005 through December 31, 2005. Beginning January 1, 2006, providers will be paid under the refinedRUG-53 system.
Based on the above, we estimate the FY 2006 impact will be a net increase of $20 million in payments to SNF providers (this reflects a $1.02 billion reduction from the expiration of temporary payment increases, offset by a $510 million increase from the refined case-mix classification system and a $530 million increase from the update to the payment rates, as explained in greater detail later in this section). The impact analysis in Table 12 of this final rule represents the projected effects of the policy changes in the SNF PPS from FY 2005 to FY 2006. We estimate the effects by estimating payments while holding all other payment variables constant. We use the best data available, but we do not attempt to predict behavioral responses to these changes, and we do not make adjustments for future changes in such variables as days or case-mix.
We note that certain events may combine to limit the scope or accuracy of our impact analysis, because such an analysis is future-oriented and, thus, susceptible to forecasting errors due to other changes in the forecasted impact time period. Some examples are newly-legislated general Medicare program funding changes by the Congress, or changes specifically related to SNFs. In addition, changes to the Medicare program may continue to be made as a result of the BBA, the BBRA, the BIPA, the MMA, or new statutory provisions. Although these changes may not be specific to the SNF PPS, the nature of the Medicare program is such that the changes may interact, and the complexity of the interaction of these changes could make it difficult to predict accurately the full scope of the impact uponSNFs.
In accordance with section 1888(e)(4)(E) of the Act, we are updating the payment rates for FY 2006. The BBRA, BIPA, and MMA provided for several temporary adjustments to the SNF PPS payment rates that together, using the most recent data available, accounted for an estimated impact of $1.4 billion per year.
We note that in accordance with section 101(a) of the BBRA and section 314 of the BIPA, the existing, temporary increase in the per diem adjusted payment rates of 20 percent for certain specified clinically complex RUGs(and 6.7 percent for other, rehabilitation RUGs) would expire with the implementation of the case-mix refinements in the SNF PPS. As explained in section II. of this final rule, section 511 of the MMA, which provides for a 128 percent increase in the PPS per diem payment for any SNF resident with Acquired Immune Deficiency Syndrome (AIDS), remains in effect. However, we have not provided a separate impact analysis for the MMA provision. Our latest estimates indicate that there are less than 2,000 beneficiaries who qualify for the AIDS add-on payment. The impact to Medicare is included in the "total" column of Table 12.
In updating the rates for FY 2006, we made a number of standard annual revisions and clarifications mentioned elsewhere in this final rule (for example, the update to the wage and market basket indexes used for adjusting the Federal rates). These revisions would increase payments to SNFs by approximately $530 million.
The aggregate change in payments associated with this final rule is estimated to be an increase in payments to SNFs of $20 million for FY 2006. The decrease of $1.02 billion due to the elimination of the temporary add-ons, together with the additional payment due to the refined case-mix classification system of $510 million and the market basket increase of $530 million, results in a net change in payments of $20 million. There are two areas of change that produce this impact on SNFs:
1. The implementation of a refined case-mix classification system under section 1888(e)(4)(G)(i) of the Act and, consequently, the expiration of the temporary 20 percent/6.7 percent add-ons to the Federal rates for the specified RUG groups.
2. The total change in payments from FY 2005 levels to FY 2006 levels. This includes all of the previously noted changes in addition to the effect of the update to the rates.
The impacts are shown in Table 12. The breakdown of the various categories of data in the table follows.
The first column shows the breakdown of all SNFs by urban or rural status, hospital-based or freestanding status, and census region.
The first row of figures in the first column describes the estimated effects of the various changes on all facilities. The next 6 rows show the effects on facilities split by hospital-based, freestanding, urban, and rural categories. The urban and rural designations are based on the location of the facility under the CBSA designations. The next 20 rows show the effects on urban versus rural status by census region.
The second column in the table shows the number of facilities in the impact database.
The third column of the table shows the effect of the annual update to the wage index. This represents the effect of using the most recent wage data available. The total impact of this change is zero percent; however, there are distributional effects of the change.
The fourth column of the table shows the effect of using the new OMB geographic designations based on CBSAs.During the FY 2006 transition to CBSAs, SNFs will receive a transition-based wage index value consisting of a blend of 50 percent of the FY 2006 MSA-based wage index and 50 percent of the FY 2006 CBSA-based wage index (seeTable A in the Addendum), as described in Section III.D.1 of this final rule.
The fifth column of the table shows the effect of the elimination of the add-on for specified RUG groups. As expected, this results in a decrease in payments for all providers.
The sixth column of the table shows the effect of the refinements to the case-mix classification system.Table 12 shows that there is a positive 3 percent overall impact from the case-mix refinements. Distributional effects are noted for specific providers. For example, hospital-based facilities are expected to receive greater than an 7.7 percent increase in payment, compared with freestanding facilities that show an increase in payments of between 2.2 percent and 2.6 percent. Additionally, rural Census regions show increases in payments of 3.4 percent.
The seventh column of the table shows the effect of all of the changes on the FY 2006 payments. As the market basket increase of 3.1 percentage points is constant for all providers, it is not shown individually; however, we note that the "Total FY 2006 change" column does incorporate this increase. It is projected that aggregate payments will increase by $20 million, assuming facilities do not change their care delivery and billing practices in response.
As can be seen from this table, the combined effects of all of the changes would vary by specific types of providers and by location. For example, though facilities in the urban New England and rural South Atlantic regions experience payment decreases of 0.4 percent and 0.4 percent, respectively, some providers (such as those in the rural Pacific and rural New England regions) show increases of 4.1 percent and 2.4 percent, respectively. Payment increases for facilities in the Rural Pacific area of the country are the highest for any provider category.
| Number of facilities | Update wage data (percent) | MSA to CBSA (percent) | Eliminate add-on to certain RUGs (percent) | Case-mix refinements (percent) | Total FY 2006 change (percent) | |
|---|---|---|---|---|---|---|
| Total | 15,675 | 0.0 | 0.0 | -6.0 | 3.0 | 0.1 |
| Urban | 10,599 | 0.0 | 0.0 | -6.0 | 2.9 | 0.0 |
| Rural | 5,076 | 0.1 | 0.1 | -6.0 | 3.4 | 0.7 |
| Hospital based urban | 1,097 | 0.0 | 0.0 | -6.3 | 7.8 | 4.6 |
| Freestanding urban | 8,693 | 0.0 | 0.0 | -5.9 | 2.2 | -0.6 |
| Hospital based rural | 1,160 | 0.0 | 0.1 | -6.8 | 7.7 | 4.1 |
| Freestanding rural | 3,372 | 0.1 | 0.1 | -5.9 | 2.6 | 0.1 |
| Urban by Region | ||||||
| New England | 917 | -0.2 | -0.1 | -6.4 | 3.2 | -0.4 |
| Middle Atlantic | 1,499 | 0.2 | 0.0 | -6.1 | 3.0 | 0.2 |
| South Atlantic | 1,739 | -0.3 | 0.0 | -5.9 | 2.9 | -0.3 |
| East North Central | 2,009 | -0.4 | 0.0 | -5.7 | 2.9 | -0.2 |
| East South Central | 531 | 0.3 | 0.0 | -6.0 | 2.6 | 0.0 |
| West North Central | 836 | -0.6 | 0.0 | -5.9 | 3.6 | 0.3 |
| West South Central | 1,093 | -0.1 | 0.1 | -5.8 | 2.6 | 0.0 |
| Mountain | 467 | -0.3 | 0.1 | -5.6 | 2.9 | 0.2 |
| Pacific | 1,501 | 1.2 | 0.0 | -6.2 | 2.9 | 1.0 |
| Rural by Region | ||||||
| New England | 139 | 2.0 | 0.0 | -5.7 | 3.0 | 2.4 |
| Middle Atlantic | 283 | -0.1 | 0.1 | -6.0 | 3.6 | 0.7 |
| South Atlantic | 612 | -0.3 | 0.0 | -6.2 | 3.0 | -0.4 |
| East North Central | 947 | 0.3 | 0.0 | -5.9 | 3.8 | 1.4 |
| East South Central | 571 | 0.1 | 0.1 | -6.3 | 2.6 | -0.4 |
| West North Central | 1,219 | -0.5 | 0.1 | -6.2 | 4.1 | 0.7 |
| West South Central | 823 | 0.2 | 0.0 | -6.2 | 2.7 | -0.2 |
| Mountain | 298 | 0.6 | -0.2 | -5.9 | 3.8 | 1.4 |
| Pacific | 182 | 1.6 | 0.0 | -4.2 | 3.6 | 4.1 |
| Ownership | ||||||
| Government | 693 | 0.0 | 0.2 | -6.5 | 4.8 | 1.6 |
| Proprietary | 9,317 | 0.0 | 0.0 | -5.9 | 2.3 | -0.6 |
| Voluntary | 3,493 | -0.1 | 0.0 | -6.0 | 4.9 | 1.9 |
Comment: Several commenters asked that we provide additional data and files to help them model the impact on providers.
Response: CMS worked to make additional data and updated analyses readily available throughout the comment period, and posted these additional data and analyses to the CMS website as soon as they became available.
Comment: A few commenters expressed concern that the proposed FY 2006 market basket update was included in our impact analysis. They contended that the market basket update reflects changes in price levels that have already taken place and, in their view, reimburses them for expenses they have already incurred. By including the market basket update in the impact analysis, these commenters argue that we have understated the actual impact of the FY 2006 changes.
Response: The impact analyses presented here and in the proposed rule utilize the same methodology that has been in effect since the introduction of the SNF PPS.Specifically, we determine the impact analysis by estimating aggregate payments attributable to each major component of the rate, including the market basket adjustment, while holding all other payment variables constant. By including the FY 2006 market basket variable in the analysis, and then comparing the expenditures to the FY 2005 levels (which also include a market basket update factor), we obtain a more accurate picture of aggregate spending changes.
Comment: Several commenters expressed concern regarding the overall fiscal impact of the proposed changes and recommended that the aggregate expenditure levels be increased. Other commenters stated that they had been unable to reconcile their independent analyses with the information contained in the proposed rule, and were concerned that the impact of the proposed rate structure would exceed the CMS projections.
Response: As mentioned in Section III., throughout the comment period, we reexamined the data presented in the proposed rule, updated the analyses to reflect the most recent available data, and corrected minor technical errors. We also received information from industry representatives and others, which helped us to verify the accuracy of the data used in the rate calculations, and then to ensure that the resulting rates correctly reflected the policies specified in the proposed rule. We then repeated the payment simulation described in the proposed rule. Next we recalculated the payment adjustment needed to ensure parity when comparing the aggregate expenditure levels of the 44-group and 53-group RUG models. As a final step, we applied an 8.51 percent increase to the nursing weights to reflect variation in non-therapy ancillary costs.
The impact analyses presented here and in the proposed rule utilize the same methodology that has been in effect since the introduction of the SNF PPS. The numbers presented in the impact analysis section represent the impact to the Federal Government which is calculated as total payments net of coinsurance. However, when considering total payments (not total impact), such as determining any adjustment to the nursing weights to reflect the variation in non-therapy ancillary costs, we use total payments including the coinsurance amounts.
We further note that, while the market basket increases are mandated in the statute, the Congress established an oversight mechanism to adjust or eliminate the updates based on MedPAC's annual analysis and recommendations. For FY 2006, MedPAC recommended a zero update. Had the Congress accepted that recommendation and enacted a change, the market basket adjustment would have been zero, and we would have included that factor in our impact analyses.
C. Accounting Statement
As required by OMB Circular A-4 (available at http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf ), in Table 13 below, we have prepared an accounting statement showing the classification of the expenditures associated with the provisions of this final rule. This table provides our best estimate of the change in Medicare payments under the SNF PPS as a result of the policies in this final rule based on the data for 15,675 SNFs in our database. All expenditures are classified as transfers to Medicare providers (that is, SNFs).
| Category | Transfers |
|---|---|
| Annualized Monetized Transfers | $20 million. |
| From Whom To Whom? | Federal Government to SNF Medicare Providers. |
D. Alternatives Considered
Section 1888(e) of the Act establishes the SNF PPS for the payment of Medicare SNF services for cost reporting periods beginning on or after July 1, 1998. This section of the statute prescribes a detailed formula for calculating payment rates under the SNF PPS, and does not provide for the use of any alternative methodology. It specifies that the base year cost data to be used for computing the payment rates must be from FY 1995(October 1, 1994, through September 30, 1995.) In accordance with the statute, we also incorporated a number of elements into the SNF PPS, such as a case-mix classification methodology, the MDS assessment schedule, a market basket index, a wage index, and the urban and rural distinction used in the development or adjustment of the Federal rates. Further, section 1888(e)(4)(H) of the Act specifically requires us to disseminate the payment rates for each new fiscal year through the Federal Register , and to do so before the August 1 that precedes the start of the new fiscal year.
Because we have determined that this final rule will have a significant economic impact on SNFs, we will discuss the alternatives we considered. We reviewed the options considered in the proposed rule and took into consideration comments received during the public comment period as discussed in the preamble.
As discussed previously in section II. of this final rule, we will implement refinements to the RUG-III case-mix classification system under section 1888(e)(4)(G)(i) of the Act. At the same time, we continue to evaluate longer-range, more comprehensive changes in the case-mix classification system. One alternative that we considered was to defer refinements at this time until our evaluation of longer-range, more comprehensive changes is complete. However, we believe that these refinements will serve to improve the distribution of payments under the PPS in a manner that more accurately accounts for the care needs of the most medically complex patients. While our additional research may identify more comprehensive modifications, it is not currently known when the results of this research would become available. Therefore, we have decided to implement the refinements discussed elsewhere in this final rule.
As discussed in section III.D, we considered several budget neutral options that would most effectively implement the adoption of the CBSA designation. Among the alternatives that we considered were the options discussed in the proposed rule and new options that took into consideration comments received during the public comment period, as discussed elsewhere in this final rule.
In accordance with the provisions of Executive Order 12866, this regulation was reviewed by the Office of Management and Budget.
List of Subjects
42 CFR Part 409
Health facilities, Medicare.
42 CFR Part 411
Kidney diseases, Medicare, Reporting and recordkeeping requirements.
42 CFR Part 424
Emergency medical services, Health facilities, Health professions, Medicare.
42 CFR Part 489
Health facilities, Medicare, Reporting and recordkeeping requirements.
For the reasons set forth in the preamble, the Centers for Medicare Medicaid Services amends 42 CFR chapter IV as follows:
PART 409-HOSPITAL INSURANCE BENEFITS
1. The authority citation for part 409 continues to read as follows:
Authority:
Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
Subpart D-Requirements for Coverage of Posthospital SNF Care
2. Amend § 409.31 by-
A. Republishing paragraph (b)(2) introductory text.
B. Revising paragraph (b)(2)(ii) to read as follows:
§ 409.31 Level of care requirement.
(b) * * *
(2) Those services must be furnished for a condition-
(i) * * *
(ii) Which arose while the beneficiary was receiving care in a SNF or swing-bed hospital for a condition for which he or she received inpatient hospital or inpatient CAH services; or
Subpart F-Scope of Hospital Insurance Benefits
3. Amend § 409.60(c) by removing the references to "§ 405.330" and adding "§ 411.400" in its place.
PART 411-EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
1. The authority citation for part 411 continues to read as follows:
Authority:
Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
Subpart A-General Exclusions and Exclusion of ParticularServices
2. Amend § 411.15 by-
A. Republishing paragraph (p)(2) introductory text.
B. Revising paragraph (p)(2)(xii) to read as follows:
§ 411.15 Particular services excluded from coverage.
(p) * * *
(2) Exceptions. The following services are not excluded from coverage, provided that the claim for payment includes the SNF's Medicare provider number in accordance with § 424.32(a)(5) of this chapter:
(xii) Those chemotherapy items identified, as of July 1, 1999, by HCPCS codes J9000-J9020; J9040-J9151; J9170-J9185; J9200-J9201; J9206-J9208; J9211; J9230-J9245; andJ9265-J9600; and, as of January 1, 2004, by HCPCS codesA9522, A9523, A9533, and A9534.
PART 424-CONDITIONS FOR MEDICARE PAYMENT
1. The authority citation for part 424 continues to read as follows:
Authority:
Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
Subpart B-Certification and Plan of Treatment Requirements
§ 424.3 Definitions.
2. In § 424.3, in the definition of "HCPCS" remove the word "CMS" and add the word "Healthcare" in its place.
3. In § 424.20, paragraph (e)(2) is revised to read as follows:
§ 424.20 Requirements for posthospital SNF care.
(e) * * *
(2) A nurse practitioner or clinical nurse specialist, neither of whom has a direct or indirect employment relationship with the facility but who is working in collaboration with a physician. For purposes of this section-
(i) Collaboration means a process whereby a nurse practitioner or clinical nurse specialist works with a doctor of medicine or osteopathy to deliver health care services. The services are delivered within the scope of the nurse's professional expertise, with medical direction and appropriate supervision as provided for in guidelines jointly developed by the nurse and the physician or other mechanisms defined by Federal regulations and the law of the State in which the services are performed.
(ii) A direct employment relationship with the facility is one in which the nurse practitioner or clinical nurse specialist meets the common law definition of the facility's "employee," as specified in § 404.1005, § 404.1007, and § 404.1009 of title 20 of the regulations. When a nurse practitioner or clinical nurse specialist meets this definition with respect to an entity other than the facility itself, and that entity has an agreement with the facility for the provision of nursing services under § 409.21 of this subchapter, the facility is considered to have an indirect employment relationship with the nurse practitioner or clinical nurse specialist. An indirect employment relationship does not exist if the agreement between the entity and the facility involves only the performance of delegated physician tasks under § 483.40(e) of this chapter.
PART 489-PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
1. The authority citation for part 489 continues to read as follows:
Authority:
Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).
Subpart B-Essentials of Provider Agreements
2. Section 489.20 is amended by:
A. Republishing the introductory text and the paragraph (s) introductory text.
B. Revising paragraph (s)(12).
§ 489.20 Basic commitments.
The provider agrees to the following:
(s) In the case of an SNF, either to furnish directly or make arrangements (as defined in § 409.3 of this chapter) for all Medicare-covered services furnished to a resident (as defined in § 411.15(p)(3) of this chapter) of the SNF, except the following:
(12) Those chemotherapy items identified, as of July 1,1999, by HCPCS codes J9000-J9020; J9040-J9151; J9170-J9185; J9200-J9201; J9206-J9208; J9211; J9230-J9245; and J9265-J9600; and, as of January 1, 2004, by HCPCS codes A9522, A9523, A9533, and A9534.
(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare-Hospital Insurance Program; and No. 93.774,Medicare-Supplementary Medical Insurance Program)
Dated: July 19, 2005.
Mark B. McClellan,
Administrator, Centers for Medicare Medicaid Services.
Approved: July 27, 2005.Michael O. Leavitt,
Secretary.
Addendum-FY 2006 Transition Wage Index and CBSA Tables
In this addendum, we provide the tables referred to in the preamble to this final rule. Tables 8 and 9 provide the CBSA-based wage index values for urban and rural providers. Though we will use the transition-based wage index values presented in Table A for FY 2006, CBSA-based wage index values will be used for FY 2007 when the transition will expire. Tables 8 and 9 serve the purpose of showing a possible format of how the CBSA-based wage index values will be presented for FY 2007.
Table A provides the following information: Social Security Administration (SSA) State and County Code; State and County name; existing MSA-based labor market area designation; MSA-based urban/rural geographic designation; FY 2006 MSA-based wage index; FY 2006 CBSA-based wage index; CBSA-based labor market area; CBSA-based urban/rural geographic designation (which will be used for the FY 2006 transition); and the FY 2006 transition wage index (based on 50 percent of the FY 2006 MSA-based wage index and 50 percent of the FY 2006 CBSA-based wage index).
| CBSA code | Urban area (constituent counties) | Wage index |
|---|---|---|
| 10180 | Abilene, TX | 0.7896 |
| Callahan County, TX | ||
| Jones County, TX | ||
| Taylor County, TX | ||
| 10380 | Aguadilla-Isabela-San Sebastian, PR | 0.4738 |
| Aguada Municipio, PR | ||
| Aguadilla Municipio, PR | ||
| Anasco Municipio, PR | ||
| Isabela Municipio, PR | ||
| Lares Municipio, PR | ||
| Moca Municipio, PR | ||
| Rincon Municipio, PR | ||
| San Sebastian Municipio, PR | ||
| 10420 | Akron, OH | 0.8982 |
| Portage County, OH | ||
| Summit County, OH | ||
| 10500 | Albany, GA | 0.8628 |
| Baker County, GA | ||
| Dougherty County, GA | ||
| Lee County, GA | ||
| Terrell County, GA | ||
| Worth County, GA | ||
| 10580 | Albany-Schenectady-Troy, NY | 0.8589 |
| Albany County, NY | ||
| Rensselaer County, NY | ||
| Saratoga County, NY | ||
| Schenectady County, NY | ||
| Schoharie County, NY | ||
| 10740 | Albuquerque, NM | 0.9684 |
| Bernalillo County, NM | ||
| Sandoval County, NM | ||
| Torrance County, NM | ||
| Valencia County, NM | ||
| 10780 | Alexandria, LA | 0.8033 |
| Grant Parish, LA | ||
| Rapides Parish, LA | ||
| 10900 | Allentown-Bethlehem-Easton, PA-NJ | 0.9818 |
| Warren County, NJ | ||
| Carbon County, PA | ||
| Lehigh County, PA | ||
| Northampton County, PA | ||
| 11020 | Altoona, PA | 0.8944 |
| Blair County, PA | ||
| 11100 | Amarillo, TX | 0.9156 |
| Armstrong County, TX | ||
| Carson County, TX | ||
| Potter County, TX | ||
| Randall County, TX | ||
| 11180 | Ames, IA | 0.9536 |
| Story County, IA | ||
| 11260 | Anchorage, AK | 1.1895 |
| Anchorage Municipality, AK | ||
| Matanuska-Susitna Borough, AK | ||
| 11300 | Anderson, IN | 0.8586 |
| Madison County, IN | ||
| 11340 | Anderson, SC | 0.8997 |
| Anderson County, SC | ||
| 11460 | Ann Arbor, MI | 1.0859 |
| Washtenaw County, MI | ||
| 11500 | Anniston-Oxford, AL | 0.7682 |
| Calhoun County, AL | ||
| 11540 | Appleton, WI | 0.9288 |
| Calumet County, WI | ||
| Outagamie County, WI | ||
| 11700 | Asheville, NC | 0.9285 |
| Buncombe County, NC | ||
| Haywood County, NC | ||
| Henderson County, NC | ||
| Madison County, NC | ||
| 12020 | Athens-Clarke County, GA | 0.9855 |
| Clarke County, GA | ||
| Madison County, GA | ||
| Oconee County, GA | ||
| Oglethorpe County, GA | ||
| 12060 | Atlanta-Sandy Springs-Marietta, GA | 0.9793 |
| Barrow County, GA | ||
| Bartow County, GA | ||
| Butts County, GA | ||
| Carroll County, GA | ||
| Cherokee County, GA | ||
| Clayton County, GA | ||
| Cobb County, GA | ||
| Coweta County, GA | ||
| Dawson County, GA | ||
| DeKalb County, GA | ||
| Douglas County, GA | ||
| Fayette County, GA | ||
| Forsyth County, GA | ||
| Fulton County, GA | ||
| Gwinnett County, GA | ||
| Haralson County, GA | ||
| Heard County, GA | ||
| Henry County, GA | ||
| Jasper County, GA | ||
| Lamar County, GA | ||
| Meriwether County, GA | ||
| Newton County, GA | ||
| Paulding County, GA | ||
| Pickens County, GA | ||
| Pike County, GA | ||
| Rockdale County, GA | ||
| Spalding County, GA | ||
| Walton County, GA | ||
| 12100 | Atlantic City, NJ | 1.1615 |
| Atlantic County, NJ | ||
| 12220 | Auburn-Opelika, AL | 0.8100 |
| Lee County, AL | ||
| 12260 | Augusta-Richmond County, GA-SC | 0.9748 |
| Burke County, GA | ||
| Columbia County, GA | ||
| McDuffie County, GA | ||
| Richmond County, GA | ||
| Aiken County, SC | ||
| Edgefield County, SC | ||
| 12420 | Austin-Round Rock, TX | 0.9437 |
| Bastrop County, TX | ||
| Caldwell County, TX | ||
| Hays County, TX | ||
| Travis County, TX | ||
| Williamson County, TX | ||
| 12540 | Bakersfield, CA | 1.0470 |
| Kern County, CA | ||
| 12580 | Baltimore-Towson, MD | 0.9897 |
| Anne Arundel County, MD | ||
| Baltimore County, MD | ||
| Carroll County, MD | ||
| Harford County, MD | ||
| Howard County, MD | ||
| Queen Anne's County, MD | ||
| Baltimore City, MD | ||
| 12620 | Bangor, ME | 0.9993 |
| Penobscot County, ME | ||
| 12700 | Barnstable Town, MA | 1.2600 |
| Barnstable County, MA | ||
| 12940 | Baton Rouge, LA | 0.8593 |
| Ascension Parish, LA | ||
| East Baton Rouge Parish, LA | ||
| East Feliciana Parish, LA | ||
| Iberville Parish, LA | ||
| Livingston Parish, LA | ||
| Pointe Coupee Parish, LA | ||
| St. Helena Parish, LA | ||
| West Baton Rouge Parish, LA | ||
| West Feliciana Parish, LA | ||
| 12980 | Battle Creek, MI | 0.9508 |
| Calhoun County, MI | ||
| 13020 | Bay City, MI | 0.9343 |
| Bay County, MI | ||
| 13140 | Beaumont-Port Arthur, TX | 0.8412 |
| Hardin County, TX | ||
| Jefferson County, TX | ||
| Orange County, TX | ||
| 13380 | Bellingham, WA | 1.1731 |
| Whatcom County, WA | ||
| 13460 | Bend, OR | 1.0786 |
| Deschutes County, OR | ||
| 13644 | Bethesda-Frederick-Gaithersburg, MD | 1.1483 |
| Frederick County, MD | ||
| Montgomery County, MD | ||
| 13740 | Billings, MT | 0.8834 |
| Carbon County, MT | ||
| Yellowstone County, MT | ||
| 13780 | Binghamton, NY | 0.8562 |
| Broome County, NY | ||
| Tioga County, NY | ||
| 13820 | Birmingham-Hoover, AL | 0.8959 |
| Bibb County, AL | ||
| Blount County, AL | ||
| Chilton County, AL | ||
| Jefferson County, AL | ||
| St. Clair County, AL | ||
| Shelby County, AL | ||
| Walker County, AL | ||
| 13900 | Bismarck, ND | 0.7574 |
| Burleigh County, ND | ||
| Morton County, ND | ||
| 13980 | Blacksburg-Christiansburg-Radford, VA | 0.7954 |
| Giles County, VA | ||
| Montgomery County, VA | ||
| Pulaski County, VA | ||
| Radford City, VA | ||
| 14020 | Bloomington, IN | 0.8447 |
| Greene County, IN | ||
| Monroe County, IN | ||
| Owen County, IN | ||
| 14060 | Bloomington-Normal, IL | 0.9075 |
| McLean County, IL | ||
| 14260 | Boise City-Nampa, ID | 0.9052 |
| Ada County, ID | ||
| Boise County, ID | ||
| Canyon County, ID | ||
| Gem County, ID | ||
| Owyhee County, ID | ||
| 14484 | Boston-Quincy, MA | 1.1558 |
| Norfolk County, MA | ||
| Plymouth County, MA | ||
| Suffolk County, MA | ||
| 14500 | Boulder, CO | 0.9734 |
| Boulder County, CO | ||
| 14540 | Bowling Green, KY | 0.8211 |
| Edmonson County, KY | ||
| Warren County, KY | ||
| 14740 | Bremerton-Silverdale, WA | 1.0675 |
| Kitsap County, WA | ||
| 14860 | Bridgeport-Stamford-Norwalk, CT | 1.2592 |
| Fairfield County, CT | ||
| 15180 | Brownsville-Harlingen, TX | 0.9804 |
| Cameron County, TX | ||
| 15260 | Brunswick, GA | 0.9311 |
| Brantley County, GA | ||
| Glynn County, GA | ||
| McIntosh County, GA | ||
| 15380 | Buffalo-Niagara Falls, NY | 0.9511 |
| Erie County, NY | ||
| Niagara County, NY | ||
| 15500 | Burlington, NC | 0.8905 |
| Alamance County, NC | ||
| 15540 | Burlington-South Burlington, VT | 0.9410 |
| Chittenden County, VT | ||
| Franklin County, VT | ||
| Grand Isle County, VT | ||
| 15764 | Cambridge-Newton-Framingham, MA | 1.1172 |
| Middlesex County, MA | ||
| 15804 | Camden, NJ | 1.0517 |
| Burlington County, NJ | ||
| Camden County, NJ | ||
| Gloucester County, NJ | ||
| 15940 | Canton-Massillon, OH | 0.8935 |
| Carroll County, OH | ||
| Stark County, OH | ||
| 15980 | Cape Coral-Fort Myers, FL | 0.9356 |
| Lee County, FL | ||
| 16180 | Carson City, NV | 1.0234 |
| Carson City, NV | ||
| 16220 | Casper, WY | 0.9026 |
| Natrona County, WY | ||
| 16300 | Cedar Rapids, IA | 0.8825 |
| Benton County, IA | ||
| Jones County, IA | ||
| Linn County, IA | ||
| 16580 | Champaign-Urbana, IL | 0.9594 |
| Champaign County, IL | ||
| Ford County, IL | ||
| Piatt County, IL | ||
| 16620 | Charleston, WV | 0.8445 |
| Boone County, WV | ||
| Clay County, WV | ||
| Kanawha County, WV | ||
| Lincoln County, WV | ||
| Putnam County, WV | ||
| 16700 | Charleston-North Charleston, SC | 0.9245 |
| Berkeley County, SC | ||
| Charleston County, SC | ||
| Dorchester County, SC | ||
| 16740 | Charlotte-Gastonia-Concord, NC-SC | 0.9750 |
| Anson County, NC | ||
| Cabarrus County, NC | ||
| Gaston County, NC | ||
| Mecklenburg County, NC | ||
| Union County, NC | ||
| York County, SC | ||
| 16820 | Charlottesville, VA | 1.0187 |
| Albemarle County, VA | ||
| Fluvanna County, VA | ||
| Greene County, VA | ||
| Nelson County, VA | ||
| Charlottesville City, VA | ||
| 16860 | Chattanooga, TN-GA | 0.9088 |
| Catoosa County, GA | ||
| Dade County, GA | ||
| Walker County, GA | ||
| Hamilton County, TN | ||
| Marion County, TN | ||
| Sequatchie County, TN | ||
| 16940 | Cheyenne, WY | 0.8775 |
| Laramie County, WY | ||
| 16974 | Chicago-Naperville-Joliet, IL | 1.0790 |
| Cook County, IL | ||
| DeKalb County, IL | ||
| DuPage County, IL | ||
| Grundy County, IL | ||
| Kane County, IL | ||
| Kendall County, IL | ||
| McHenry County, IL | ||
| Will County, IL | ||
| 17020 | Chico, CA | 1.0511 |
| Butte County, CA | ||
| 17140 | Cincinnati-Middletown, OH-KY-IN | 0.9615 |
| Dearborn County, IN | ||
| Franklin County, IN | ||
| Ohio County, IN | ||
| Boone County, KY | ||
| Bracken County, KY | ||
| Campbell County, KY | ||
| Gallatin County, KY | ||
| Grant County, KY | ||
| Kenton County, KY | ||
| Pendleton County, KY | ||
| Brown County, OH | ||
| Butler County, OH | ||
| Clermont County, OH | ||
| Hamilton County, OH | ||
| Warren County, OH | ||
| 17300 | Clarksville, TN-KY | 0.8284 |
| Christian County, KY | ||
| Trigg County, KY | ||
| Montgomery County, TN | ||
| Stewart County, TN | ||
| 17420 | Cleveland, TN | 0.8139 |
| Bradley County, TN | ||
| Polk County, TN | ||
| 17460 | Cleveland-Elyria-Mentor, OH | 0.9213 |
| Cuyahoga County, OH | ||
| Geauga County, OH | ||
| Lake County, OH | ||
| Lorain County, OH | ||
| Medina County, OH | ||
| 17660 | Coeur d'Alene, ID | 0.9647 |
| Kootenai County, ID | ||
| 17780 | College Station-Bryan, TX | 0.8900 |
| Brazos County, TX | ||
| Burleson County, TX | ||
| Robertson County, TX | ||
| 17820 | Colorado Springs, CO | 0.9468 |
| El Paso County, CO | ||
| Teller County, CO | ||
| 17860 | Columbia, MO | 0.8345 |
| Boone County, MO | ||
| Howard County, MO | ||
| 17900 | Columbia, SC | 0.9057 |
| Calhoun County, SC | ||
| Fairfield County, SC | ||
| Kershaw County, SC | ||
| Lexington County, SC | ||
| Richland County, SC | ||
| Saluda County, SC | ||
| 17980 | Columbus, GA-AL | 0.8560 |
| Russell County, AL | ||
| Chattahoochee County, GA | ||
| Harris County, GA | ||
| Marion County, GA | ||
| Muscogee County, GA | ||
| 18020 | Columbus, IN | 0.9588 |
| Bartholomew County, IN | ||
| 18140 | Columbus, OH | 0.9860 |
| Delaware County, OH | ||
| Fairfield County, OH | ||
| Franklin County, OH | ||
| Licking County, OH | ||
| Madison County, OH | ||
| Morrow County, OH | ||
| Pickaway County, OH | ||
| Union County, OH | ||
| 18580 | Corpus Christi, TX | 0.8550 |
| Aransas County, TX | ||
| Nueces County, TX | ||
| San Patricio County, TX | ||
| 18700 | Corvallis, OR | 1.0729 |
| Benton County, OR | ||
| 19060 | Cumberland, MD-WV | 0.9317 |
| Allegany County, MD | ||
| Mineral County, WV | ||
| 19124 | Dallas-Plano-Irving, TX | 1.0228 |
| Collin County, TX | ||
| Dallas County, TX | ||
| Delta County, TX | ||
| Denton County, TX | ||
| Ellis County, TX | ||
| Hunt County, TX | ||
| Kaufman County, TX | ||
| Rockwall County, TX | ||
| 19140 | Dalton, GA | 0.9079 |
| Murray County, GA | ||
| Whitfield County, GA | ||
| 19180 | Danville, IL | 0.9028 |
| Vermilion County, IL | ||
| 19260 | Danville, VA | 0.8489 |
| Pittsylvania County, VA | ||
| Danville City, VA | ||
| 19340 | Davenport-Moline-Rock Island, IA-IL | 0.8724 |
| Henry County, IL | ||
| Mercer County, IL | ||
| Rock Island County, IL | ||
| Scott County, IA | ||
| 19380 | Dayton, OH | 0.9064 |
| Greene County, OH | ||
| Miami County, OH | ||
| Montgomery County, OH | ||
| Preble County, OH | ||
| 19460 | Decatur, AL | 0.8469 |
| Lawrence County, AL | ||
| Morgan County, AL | ||
| 19500 | Decatur, IL | 0.8067 |
| Macon County, IL | ||
| 19660 | Deltona-Daytona Beach-Ormond Beach, FL | 0.9299 |
| Volusia County, FL | ||
| 19740 | Denver-Aurora, CO | 1.0723 |
| Adams County, CO | ||
| Arapahoe County, CO | ||
| Broomfield County, CO | ||
| Clear Creek County, CO | ||
| Denver County, CO | ||
| Douglas County, CO | ||
| Elbert County, CO | ||
| Gilpin County, CO | ||
| Jefferson County, CO | ||
| Park County, CO | ||
| 19780 | Des Moines, IA | 0.9669 |
| Dallas County, IA | ||
| Guthrie County, IA | ||
| Madison County, IA | ||
| Polk County, IA | ||
| Warren County, IA | ||
| 19804 | Detroit-Livonia-Dearborn, MI | 1.0424 |
| Wayne County, MI | ||
| 20020 | Dothan, AL | 0.7721 |
| Geneva County, AL | ||
| Henry County, AL | ||
| Houston County, AL | ||
| 20100 | Dover, DE | 0.9776 |
| Kent County, DE | ||
| 20220 | Dubuque, IA | 0.9024 |
| Dubuque County, IA | ||
| 20260 | Duluth, MN-WI | 1.0213 |
| Carlton County, MN | ||
| St. Louis County, MN | ||
| Douglas County, WI | ||
| 20500 | Durham, NC | 1.0244 |
| Chatham County, NC | ||
| Durham County, NC | ||
| Orange County, NC | ||
| Person County, NC | ||
| 20740 | Eau Claire, WI | 0.9201 |
| Chippewa County, WI | ||
| Eau Claire County, WI | ||
| 20764 | Edison, NJ | 1.1249 |
| Middlesex County, NJ | ||
| Monmouth County, NJ | ||
| Ocean County, NJ | ||
| Somerset County, NJ | ||
| 20940 | El Centro, CA | 0.8906 |
| Imperial County, CA | ||
| 21060 | Elizabethtown, KY | 0.8802 |
| Hardin County, KY | ||
| Larue County, KY | ||
| 21140 | Elkhart-Goshen, IN | 0.9627 |
| Elkhart County, IN | ||
| 21300 | Elmira, NY | 0.8250 |
| Chemung County, NY | ||
| 21340 | El Paso, TX | 0.8977 |
| El Paso County, TX | ||
| 21500 | Erie, PA | 0.8737 |
| Erie County, PA | ||
| 21604 | Essex County, MA | 1.0538 |
| Essex County, MA | ||
| 21660 | Eugene-Springfield, OR | 1.0818 |
| Lane County, OR | ||
| 21780 | Evansville, IN-KY | 0.8713 |
| Gibson County, IN | ||
| Posey County, IN | ||
| Vanderburgh County, IN | ||
| Warrick County, IN | ||
| Henderson County, KY | ||
| Webster County, KY | ||
| 21820 | Fairbanks, AK | 1.1408 |
| Fairbanks North Star Borough, AK | ||
| 21940 | Fajardo, PR | 0.4153 |
| Ceiba Municipio, PR | ||
| Fajardo Municipio, PR | ||
| Luquillo Municipio, PR | ||
| 22020 | Fargo, ND-MN | 0.8486 |
| Cass County, ND | ||
| Clay County, MN | ||
| 22140 | Farmington, NM | 0.8509 |
| San Juan County, NM | ||
| 22180 | Fayetteville, NC | 0.9416 |
| Cumberland County, NC | ||
| Hoke County, NC | ||
| 22220 | Fayetteville-Springdale-Rogers, AR-MO | 0.8661 |
| Benton County, AR | ||
| Madison County, AR | ||
| Washington County, AR | ||
| McDonald County, MO | ||
| 22380 | Flagstaff, AZ | 1.2092 |
| Coconino County, AZ | ||
| 22420 | Flint, MI | 1.0655 |
| Genesee County, MI | ||
| 22500 | Florence, SC | 0.8947 |
| Darlington County, SC | ||
| Florence County, SC | ||
| 22520 | Florence-Muscle Shoals, AL | 0.8272 |
| Colbert County, AL | ||
| Lauderdale County, AL | ||
| 22540 | Fond du Lac, WI | 0.9640 |
| Fond du Lac County, WI | ||
| 22660 | Fort Collins-Loveland, CO | 1.0122 |
| Larimer County, CO | ||
| 22744 | Fort Lauderdale-Pompano Beach-Deerfield Beach, FL | 1.0432 |
| Broward County, FL | ||
| 22900 | Fort Smith, AR-OK | 0.8230 |
| Crawford County, AR | ||
| Franklin County, AR | ||
| Sebastian County, AR | ||
| Le Flore County, OK | ||
| Sequoyah County, OK | ||
| 23020 | Fort Walton Beach-Crestview-Destin, FL | 0.8872 |
| Okaloosa County, FL | ||
| 23060 | Fort Wayne, IN | 0.9793 |
| Allen County, IN | ||
| Wells County, IN | ||
| Whitley County, IN | ||
| 23104 | Fort Worth-Arlington, TX | 0.9486 |
| Johnson County, TX | ||
| Parker County, TX | ||
| Tarrant County, TX | ||
| Wise County, TX | ||
| 23420 | Fresno, CA | 1.0538 |
| Fresno County, CA | ||
| 23460 | Gadsden, AL | 0.7938 |
| Etowah County, AL | ||
| 23540 | Gainesville, FL | 0.9388 |
| Alachua County, FL | ||
| Gilchrist County, FL | ||
| 23580 | Gainesville, GA | 0.8874 |
| Hall County, GA | ||
| 23844 | Gary, IN | 0.9395 |
| Jasper County, IN | ||
| Lake County, IN | ||
| Newton County, IN | ||
| Porter County, IN | ||
| 24020 | Glens Falls, NY | 0.8559 |
| Warren County, NY | ||
| Washington County, NY | ||
| 24140 | Goldsboro, NC | 0.8775 |
| Wayne County, NC | ||
| 24220 | Grand Forks, ND-MN | 0.7901 |
| Polk County, MN | ||
| Grand Forks County, ND | ||
| 24300 | Grand Junction, CO | 0.9550 |
| Mesa County, CO | ||
| 24340 | Grand Rapids-Wyoming, MI | 0.9390 |
| Barry County, MI | ||
| Ionia County, MI | ||
| Kent County, MI | ||
| Newaygo County, MI | ||
| 24500 | Great Falls, MT | 0.9052 |
| Cascade County, MT | ||
| 24540 | Greeley, CO | 0.9570 |
| Weld County, CO | ||
| 24580 | Green Bay, WI | 0.9483 |
| Brown County, WI | ||
| Kewaunee County, WI | ||
| Oconto County, WI | ||
| 24660 | Greensboro-High Point, NC | 0.9104 |
| Guilford County, NC | ||
| Randolph County, NC | ||
| Rockingham County, NC | ||
| 24780 | Greenville, NC | 0.9425 |
| Greene County, NC | ||
| Pitt County, NC | ||
| 24860 | Greenville, SC | 1.0027 |
| Greenville County, SC | ||
| Laurens County, SC | ||
| Pickens County, SC | ||
| 25020 | Guayama, PR | 0.3181 |
| Arroyo Municipio, PR | ||
| Guayama Municipio, PR | ||
| Patillas Municipio, PR | ||
| 25060 | Gulfport-Biloxi, MS | 0.8929 |
| Hancock County, MS | ||
| Harrison County, MS | ||
| Stone County, MS | ||
| 25180 | Hagerstown-Martinsburg, MD-WV | 0.9489 |
| Washington County, MD | ||
| Berkeley County, WV | ||
| Morgan County, WV | ||
| 25260 | Hanford-Corcoran, CA | 1.0036 |
| Kings County, CA | ||
| 25420 | Harrisburg-Carlisle, PA | 0.9313 |
| Cumberland County, PA | ||
| Dauphin County, PA | ||
| Perry County, PA | ||
| 25500 | Harrisonburg, VA | 0.9088 |
| Rockingham County, VA | ||
| Harrisonburg City, VA | ||
| 25540 | Hartford-West Hartford-East Hartford, CT | 1.1073 |
| Hartford County, CT | ||
| Litchfield County, CT | ||
| Middlesex County, CT | ||
| Tolland County, CT | ||
| 25620 | Hattiesburg, MS | 0.7601 |
| Forrest County, MS | ||
| Lamar County, MS | ||
| Perry County, MS | ||
| 25860 | Hickory-Lenoir-Morganton, NC | 0.8921 |
| Alexander County, NC | ||
| Burke County, NC | ||
| Caldwell County, NC | ||
| Catawba County, NC | ||
| 25980 | Hinesville-Fort Stewart, GA1 | |
| Liberty County, GA | ||
| Long County, GA | ||
| 26100 | Holland-Grand Haven, MI | 0.9055 |
| Ottawa County, MI | ||
| 26180 | Honolulu, HI | 1.1214 |
| Honolulu County, HI | ||
| 26300 | Hot Springs, AR | 0.9005 |
| Garland County, AR | ||
| 26380 | Houma-Bayou Cane-Thibodaux, LA | 0.7894 |
| Lafourche Parish, LA | ||
| Terrebonne Parish, LA | ||
| 26420 | Houston-Baytown-Sugar Land, TX | 0.9992 |
| Austin County, TX | ||
| Brazoria County, TX | ||
| Chambers County, TX | ||
| Fort Bend County, TX | ||
| Galveston County, TX | ||
| Harris County, TX | ||
| Liberty County, TX | ||
| Montgomery County, TX | ||
| San Jacinto County, TX | ||
| Waller County, TX | ||
| 26580 | Huntington-Ashland, WV-KY-OH | 0.9477 |
| Boyd County, KY | ||
| Greenup County, KY | ||
| Lawrence County, OH | ||
| Cabell County, WV | ||
| Wayne County, WV | ||
| 26620 | Huntsville, AL | 0.9146 |
| Limestone County, AL | ||
| Madison County, AL | ||
| 26820 | Idaho Falls, ID | 0.9420 |
| Bonneville County, ID | ||
| Jefferson County, ID | ||
| 26900 | Indianapolis, IN | 0.9920 |
| Boone County, IN | ||
| Brown County, IN | ||
| Hamilton County, IN | ||
| Hancock County, IN | ||
| Hendricks County, IN | ||
| Johnson County, IN | ||
| Marion County, IN | ||
| Morgan County, IN | ||
| Putnam County, IN | ||
| Shelby County, IN | ||
| 26980 | Iowa City, IA | 0.9747 |
| Johnson County, IA | ||
| Washington County, IA | ||
| 27060 | Ithaca, NY | 0.9793 |
| Tompkins County, NY | ||
| 27100 | Jackson, MI | 0.9304 |
| Jackson County, MI | ||
| 27140 | Jackson, MS | 0.8311 |
| Copiah County, MS | ||
| Hinds County, MS | ||
| Madison County, MS | ||
| Rankin County, MS | ||
| Simpson County, MS | ||
| 27180 | Jackson, TN | 0.8964 |
| Chester County, TN | ||
| Madison County, TN | ||
| 27260 | Jacksonville, FL | 0.9290 |
| Baker County, FL | ||
| Clay County, FL | ||
| Duval County, FL | ||
| Nassau County, FL | ||
| St. Johns County, FL | ||
| 27340 | Jacksonville, NC | 0.8236 |
| Onslow County, NC | ||
| 27500 | Janesville, WI | 0.9538 |
| Rock County, WI | ||
| 27620 | Jefferson City, MO | 0.8387 |
| Callaway County, MO | ||
| Cole County, MO | ||
| Moniteau County, MO | ||
| Osage County, MO | ||
| 27740 | Johnson City, TN | 0.7937 |
| Carter County, TN | ||
| Unicoi County, TN | ||
| Washington County, TN | ||
| 27780 | Johnstown, PA | 0.8354 |
| Cambria County, PA | ||
| 27860 | Jonesboro, AR | 0.7911 |
| Craighead County, AR | ||
| Poinsett County, AR | ||
| 27900 | Joplin, MO | 0.8582 |
| Jasper County, MO | ||
| Newton County, MO | ||
| 28020 | Kalamazoo-Portage, MI | 1.0381 |
| Kalamazoo County, MI | ||
| Van Buren County, MI | ||
| 28100 | Kankakee-Bradley, IL | 1.0721 |
| Kankakee County, IL | ||
| 28140 | Kansas City, MO-KS | 0.9476 |
| Franklin County, KS | ||
| Johnson County, KS | ||
| Leavenworth County, KS | ||
| Linn County, KS | ||
| Miami County, KS | ||
| Wyandotte County, KS | ||
| Bates County, MO | ||
| Caldwell County, MO | ||
| Cass County, MO | ||
| Clay County, MO | ||
| Clinton County, MO | ||
| Jackson County, MO | ||
| Lafayette County, MO | ||
| Platte County, MO | ||
| Ray County, MO | ||
| 28420 | Kennewick-Richland-Pasco, WA | 1.0619 |
| Benton County, WA | ||
| Franklin County, WA | ||
| 28660 | Killeen-Temple-Fort Hood, TX | 0.8526 |
| Bell County, TX | ||
| Coryell County, TX | ||
| Lampasas County, TX | ||
| 28700 | Kingsport-Bristol-Bristol, TN-VA | 0.8054 |
| Hawkins County, TN | ||
| Sullivan County, TN | ||
| Bristol City, VA | ||
| Scott County, VA | ||
| Washington County, VA | ||
| 28740 | Kingston, NY | 0.9255 |
| Ulster County, NY | ||
| 28940 | Knoxville, TN | 0.8441 |
| Anderson County, TN | ||
| Blount County, TN | ||
| Knox County, TN | ||
| Loudon County, TN | ||
| Union County, TN | ||
| 29020 | Kokomo, IN | 0.9508 |
| Howard County, IN | ||
| Tipton County, IN | ||
| 29100 | La Crosse, WI-MN | 0.9564 |
| Houston County, MN | ||
| La Crosse County, WI | ||
| 29140 | Lafayette, IN | 0.8736 |
| Benton County, IN | ||
| Carroll County, IN | ||
| Tippecanoe County, IN | ||
| 29180 | Lafayette, LA | 0.8428 |
| Lafayette Parish, LA | ||
| St. Martin Parish, LA | ||
| 29340 | Lake Charles, LA | 0.7833 |
| Calcasieu Parish, LA | ||
| Cameron Parish, LA | ||
| 29404 | Lake County-Kenosha County, IL-WI | 1.0429 |
| Lake County, IL | ||
| Kenosha County, WI | ||
| 29460 | Lakeland, FL | 0.8912 |
| Polk County, FL | ||
| 29540 | Lancaster, PA | 0.9694 |
| Lancaster County, PA | ||
| 29620 | Lansing-East Lansing, MI | 0.9794 |
| Clinton County, MI | ||
| Eaton County, MI | ||
| Ingham County, MI | ||
| 29700 | Laredo, TX | 0.8068 |
| Webb County, TX | ||
| 29740 | Las Cruces, NM | 0.8467 |
| Dona Ana County, NM | ||
| 29820 | Las Vegas-Paradise, NV | 1.1437 |
| Clark County, NV | ||
| 29940 | Lawrence, KS | 0.8537 |
| Douglas County, KS | ||
| 30020 | Lawton, OK | 0.7872 |
| Comanche County, OK | ||
| 30140 | Lebanon, PA | 0.8459 |
| Lebanon County, PA | ||
| 30300 | Lewiston, ID-WA | 0.9886 |
| Nez Perce County, ID | ||
| Asotin County, WA | ||
| 30340 | Lewiston-Auburn, ME | 0.9331 |
| Androscoggin County, ME | ||
| 30460 | Lexington-Fayette, KY | 0.9075 |
| Bourbon County, KY | ||
| Clark County, KY | ||
| Fayette County, KY | ||
| Jessamine County, KY | ||
| Scott County, KY | ||
| Woodford County, KY | ||
| 30620 | Lima, OH | 0.9225 |
| Allen County, OH | ||
| 30700 | Lincoln, NE | 1.0214 |
| Lancaster County, NE | ||
| Seward County, NE | ||
| 30780 | Little Rock-North Little Rock, AR | 0.8747 |
| Faulkner County, AR | ||
| Grant County, AR | ||
| Lonoke County, AR | ||
| Perry County, AR | ||
| Pulaski County, AR | ||
| Saline County, AR | ||
| 30860 | Logan, UT-ID | 0.9164 |
| Franklin County, ID | ||
| Cache County, UT | ||
| 30980 | Longview, TX | 0.8730 |
| Gregg County, TX | ||
| Rusk County, TX | ||
| Upshur County, TX | ||
| 31020 | Longview, WA | 0.9579 |
| Cowlitz County, WA | ||
| 31084 | Los Angeles-Long Beach-Glendale, CA | 1.1783 |
| Los Angeles County, CA | ||
| 31140 | Louisville, KY-IN | 0.9251 |
| Clark County, IN | ||
| Floyd County, IN | ||
| Harrison County, IN | ||
| Washington County, IN | ||
| Bullitt County, KY | ||
| Henry County, KY | ||
| Jefferson County, KY | ||
| Meade County, KY | ||
| Nelson County, KY | ||
| Oldham County, KY | ||
| Shelby County, KY | ||
| Spencer County, KY | ||
| Trimble County, KY | ||
| 31180 | Lubbock, TX | 0.8783 |
| Crosby County, TX | ||
| Lubbock County, TX | ||
| 31340 | Lynchburg, VA | 0.8691 |
| Amherst County, VA | ||
| Appomattox County, VA | ||
| Bedford County, VA | ||
| Campbell County, VA | ||
| Bedford City, VA | ||
| Lynchburg City, VA | ||
| 31420 | Macon, GA | 0.9443 |
| Bibb County, GA | ||
| Crawford County, GA | ||
| Jones County, GA | ||
| Monroe County, GA | ||
| Twiggs County, GA | ||
| 31460 | Madera, CA | 0.8713 |
| Madera County, CA | ||
| 31540 | Madison, WI | 1.0659 |
| Columbia County, WI | ||
| Dane County, WI | ||
| Iowa County, WI | ||
| 31700 | Manchester-Nashua, NH | 1.0354 |
| Hillsborough County, NH | ||
| Merrimack County, NH | ||
| 31900 | Mansfield, OH1 | |
| Richland County, OH | ||
| 32420 | Mayaguez, PR | 0.4020 |
| Hormigueros Municipio, PR | ||
| Mayaguez Municipio, PR | ||
| 32580 | McAllen-Edinburg-Pharr, TX | 0.8934 |
| Hidalgo County, TX | ||
| 32780 | Medford, OR | 1.0225 |
| Jackson County, OR | ||
| 32820 | Memphis, TN-MS-AR | 0.9397 |
| Crittenden County, AR | ||
| DeSoto County, MS | ||
| Marshall County, MS | ||
| Tate County, MS | ||
| Tunica County, MS | ||
| Fayette County, TN | ||
| Shelby County, TN | ||
| Tipton County, TN | ||
| 32900 | Merced, CA | 1.1109 |
| Merced County, CA | ||
| 33124 | Miami-Miami Beach-Kendall, FL | 0.9750 |
| Miami-Dade County, FL | ||
| 33140 | Michigan City-La Porte, IN | 0.9399 |
| LaPorte County, IN | ||
| 33260 | Midland, TX | 0.9514 |
| Midland County, TX | ||
| 33340 | Milwaukee-Waukesha-West Allis, WI | 1.0146 |
| Milwaukee County, WI | ||
| Ozaukee County, WI | ||
| Washington County, WI | ||
| Waukesha County, WI | ||
| 33460 | Minneapolis-St. Paul-Bloomington, MN-WI | 1.1075 |
| Anoka County, MN | ||
| Carver County, MN | ||
| Chisago County, MN | ||
| Dakota County, MN | ||
| Hennepin County, MN | ||
| Isanti County, MN | ||
| Ramsey County, MN | ||
| Scott County, MN | ||
| Sherburne County, MN | ||
| Washington County, MN | ||
| Wright County, MN | ||
| Pierce County, WI | ||
| St. Croix County, WI | ||
| 33540 | Missoula, MT | 0.9473 |
| Missoula County, MT | ||
| 33660 | Mobile, AL | 0.7891 |
| Mobile County, AL | ||
| 33700 | Modesto, CA | 1.1885 |
| Stanislaus County, CA | ||
| 33740 | Monroe, LA | 0.8031 |
| Ouachita Parish, LA | ||
| Union Parish, LA | ||
| 33780 | Monroe, MI | 0.9468 |
| Monroe County, MI | ||
| 33860 | Montgomery, AL | 0.8618 |
| Autauga County, AL | ||
| Elmore County, AL | ||
| Lowndes County, AL | ||
| Montgomery County, AL | ||
| 34060 | Morgantown, WV | 0.8420 |
| Monongalia County, WV | ||
| Preston County, WV | ||
| 34100 | Morristown, TN | 0.7961 |
| Grainger County, TN | ||
| Hamblen County, TN | ||
| Jefferson County, TN | ||
| 34580 | Mount Vernon-Anacortes, WA | 1.0454 |
| Skagit County, WA | ||
| 34620 | Muncie, IN | 0.8930 |
| Delaware County, IN | ||
| 34740 | Muskegon-Norton Shores, MI | 0.9664 |
| Muskegon County, MI | ||
| 34820 | Myrtle Beach-Conway-North Myrtle Beach, SC | 0.8934 |
| Horry County, SC | ||
| 34900 | Napa, CA | 1.2643 |
| Napa County, CA | ||
| 34940 | Naples-Marco Island, FL | 1.0139 |
| Collier County, FL | ||
| 34980 | Nashville-Davidson--Murfreesboro, TN | 0.9741 |
| Cannon County, TN | ||
| Cheatham County, TN | ||
| Davidson County, TN | ||
| Dickson County, TN | ||
| Hickman County, TN | ||
| Macon County, TN | ||
| Robertson County, TN | ||
| Rutherford County, TN | ||
| Smith County, TN | ||
| Sumner County, TN | ||
| Trousdale County, TN | ||
| Williamson County, TN | ||
| Wilson County, TN | ||
| 35004 | Nassau-Suffolk, NY | 1.2719 |
| Nassau County, NY | ||
| Suffolk County, NY | ||
| 35084 | Newark-Union, NJ-PA | 1.1883 |
| Essex County, NJ | ||
| Hunterdon County, NJ | ||
| Morris County, NJ | ||
| Sussex County, NJ | ||
| Union County, NJ | ||
| Pike County, PA | ||
| 35300 | New Haven-Milford, CT | 1.1887 |
| New Haven County, CT | ||
| 35380 | New Orleans-Metairie-Kenner, LA | 0.8995 |
| Jefferson Parish, LA | ||
| Orleans Parish, LA | ||
| Plaquemines Parish, LA | ||
| St. Bernard Parish, LA | ||
| St. Charles Parish, LA | ||
| St. John the Baptist Parish, LA | ||
| St. Tammany Parish, LA | ||
| 35644 | New York-Wayne-White Plains, NY-NJ | 1.3188 |
| Bergen County, NJ | ||
| Hudson County, NJ | ||
| Passaic County, NJ | ||
| Bronx County, NY | ||
| Kings County, NY | ||
| New York County, NY | ||
| Putnam County, NY | ||
| Queens County, NY | ||
| Richmond County, NY | ||
| Rockland County, NY | ||
| Westchester County, NY | ||
| 35660 | Niles-Benton Harbor, MI | 0.8879 |
| Berrien County, MI | ||
| 35980 | Norwich-New London, CT | 1.1345 |
| New London County, CT | ||
| 36084 | Oakland-Fremont-Hayward, CA | 1.5346 |
| Alameda County, CA | ||
| Contra Costa County, CA | ||
| 36100 | Ocala, FL | 0.8925 |
| Marion County, FL | ||
| 36140 | Ocean City, NJ | 1.1011 |
| Cape May County, NJ | ||
| 36220 | Odessa, TX | 0.9884 |
| Ector County, TX | ||
| 36260 | Ogden-Clearfield, UT | 0.9029 |
| Davis County, UT | ||
| Morgan County, UT | ||
| Weber County, UT | ||
| 36420 | Oklahoma City, OK | 0.9031 |
| Canadian County, OK | ||
| Cleveland County, OK | ||
| Grady County, OK | ||
| Lincoln County, OK | ||
| Logan County, OK | ||
| McClain County, OK | ||
| Oklahoma County, OK | ||
| 36500 | Olympia, WA | 1.0927 |
| Thurston County, WA | ||
| 36540 | Omaha-Council Bluffs, NE-IA | 0.9560 |
| Harrison County, IA | ||
| Mills County, IA | ||
| Pottawattamie County, IA | ||
| Cass County, NE | ||
| Douglas County, NE | ||
| Sarpy County, NE | ||
| Saunders County, NE | ||
| Washington County, NE | ||
| 36740 | Orlando, FL | 0.9464 |
| Lake County, FL | ||
| Orange County, FL | ||
| Osceola County, FL | ||
| Seminole County, FL | ||
| 36780 | Oshkosh-Neenah, WI | 0.9183 |
| Winnebago County, WI | ||
| 36980 | Owensboro, KY | 0.8780 |
| Daviess County, KY | ||
| Hancock County, KY | ||
| McLean County, KY | ||
| 37100 | Oxnard-Thousand Oaks-Ventura, CA | 1.1622 |
| Ventura County, CA | ||
| 37340 | Palm Bay-Melbourne-Titusville, FL | 0.9839 |
| Brevard County, FL | ||
| 37460 | Panama City-Lynn Haven, FL | 0.8005 |
| Bay County, FL | ||
| 37620 | Parkersburg-Marietta, WV-OH | 0.8270 |
| Washington County, OH | ||
| Pleasants County, WV | ||
| Wirt County, WV | ||
| Wood County, WV | ||
| 37700 | Pascagoula, MS | 0.8156 |
| George County, MS | ||
| Jackson County, MS | ||
| 37860 | Pensacola-Ferry Pass-Brent, FL | 0.8096 |
| Escambia County, FL | ||
| Santa Rosa County, FL | ||
| 37900 | Peoria, IL | 0.8870 |
| Marshall County, IL | ||
| Peoria County, IL | ||
| Stark County, IL | ||
| Tazewell County, IL | ||
| Woodford County, IL | ||
| 37964 | Philadelphia, PA | 1.1038 |
| Bucks County, PA | ||
| Chester County, PA | ||
| Delaware County, PA | ||
| Montgomery County, PA | ||
| Philadelphia County, PA | ||
| 38060 | Phoenix-Mesa-Scottsdale, AZ | 1.0127 |
| Maricopa County, AZ | ||
| Pinal County, AZ | ||
| 38220 | Pine Bluff, AR | 0.8680 |
| Cleveland County, AR | ||
| Jefferson County, AR | ||
| Lincoln County, AR | ||
| 38300 | Pittsburgh, PA | 0.8845 |
| Allegheny County, PA | ||
| Armstrong County, PA | ||
| Beaver County, PA | ||
| Butler County, PA | ||
| Fayette County, PA | ||
| Washington County, PA | ||
| Westmoreland County, PA | ||
| 38340 | Pittsfield, MA | 1.0181 |
| Berkshire County, MA | ||
| 38540 | Pocatello, ID | 0.9351 |
| Bannock County, ID | ||
| Power County, ID | ||
| 38660 | Ponce, PR | 0.4939 |
| Juana Diaz Municipio, PR | ||
| Ponce Municipio, PR | ||
| Villalba Municipio, PR | ||
| 38860 | Portland-South Portland-Biddeford, ME | 1.0382 |
| Cumberland County, ME | ||
| Sagadahoc County, ME | ||
| York County, ME | ||
| 38900 | Portland-Vancouver-Beaverton, OR-WA | 1.1266 |
| Clackamas County, OR | ||
| Columbia County, OR | ||
| Multnomah County, OR | ||
| Washington County, OR | ||
| Yamhill County, OR | ||
| Clark County, WA | ||
| Skamania County, WA | ||
| 38940 | Port St. Lucie-Fort Pierce, FL | 1.0123 |
| Martin County, FL | ||
| St. Lucie County, FL | ||
| 39100 | Poughkeepsie-Newburgh-Middletown, NY | 1.0891 |
| Dutchess County, NY | ||
| Orange County, NY | ||
| 39140 | Prescott, AZ | 0.9869 |
| Yavapai County, AZ | ||
| 39300 | Providence-New Bedford-Fall River, RI-MA | 1.0966 |
| Bristol County, MA | ||
| Bristol County, RI | ||
| Kent County, RI | ||
| Newport County, RI | ||
| Providence County, RI | ||
| Washington County, RI | ||
| 39340 | Provo-Orem, UT | 0.9500 |
| Juab County, UT | ||
| Utah County, UT | ||
| 39380 | Pueblo, CO | 0.8623 |
| Pueblo County, CO | ||
| 39460 | Punta Gorda, FL | 0.9255 |
| Charlotte County, FL | ||
| 39540 | Racine, WI | 0.8997 |
| Racine County, WI | ||
| 39580 | Raleigh-Cary, NC | 0.9691 |
| Franklin County, NC | ||
| Johnston County, NC | ||
| Wake County, NC | ||
| 39660 | Rapid City, SD | 0.8987 |
| Meade County, SD | ||
| Pennington County, SD | ||
| 39740 | Reading, PA | 0.9686 |
| Berks County, PA | ||
| 39820 | Redding, CA | 1.2203 |
| Shasta County, CA | ||
| 39900 | Reno-Sparks, NV | 1.0982 |
| Storey County, NV | ||
| Washoe County, NV | ||
| 40060 | Richmond, VA | 0.9328 |
| Amelia County, VA | ||
| Caroline County, VA | ||
| Charles City County, VA | ||
| Chesterfield County, VA | ||
| Cumberland County, VA | ||
| Dinwiddie County, VA | ||
| Goochland County, VA | ||
| Hanover County, VA | ||
| Henrico County, VA | ||
| King and Queen County, VA | ||
| King William County, VA | ||
| Louisa County, VA | ||
| New Kent County, VA | ||
| Powhatan County, VA | ||
| Prince George County, VA | ||
| Sussex County, VA | ||
| Colonial Heights City, VA | ||
| Hopewell City, VA | ||
| Petersburg City, VA | ||
| Richmond City, VA | ||
| 40140 | Riverside-San Bernardino-Ontario, CA | 1.1027 |
| Riverside County, CA | ||
| San Bernardino County, CA | ||
| 40220 | Roanoke, VA | 0.8374 |
| Botetourt County, VA | ||
| Craig County, VA | ||
| Franklin County, VA | ||
| Roanoke County, VA | ||
| Roanoke City, VA | ||
| Salem City, VA | ||
| 40340 | Rochester, MN | 1.1131 |
| Dodge County, MN | ||
| Olmsted County, MN | ||
| Wabasha County, MN | ||
| 40380 | Rochester, NY | 0.9121 |
| Livingston County, NY | ||
| Monroe County, NY | ||
| Ontario County, NY | ||
| Orleans County, NY | ||
| Wayne County, NY | ||
| 40420 | Rockford, IL | 0.9984 |
| Boone County, IL | ||
| Winnebago County, IL | ||
| 40484 | Rockingham County-Strafford County, NH | 1.0374 |
| Rockingham County, NH | ||
| Strafford County, NH | ||
| 40580 | Rocky Mount, NC | 0.8915 |
| Edgecombe County, NC | ||
| Nash County, NC | ||
| 40660 | Rome, GA | 0.9414 |
| Floyd County, GA | ||
| 40900 | Sacramento--Arden-Arcade--Roseville, CA | 1.2969 |
| El Dorado County, CA | ||
| Placer County, CA | ||
| Sacramento County, CA | ||
| Yolo County, CA | ||
| 40980 | Saginaw-Saginaw Township North, MI | 0.9088 |
| Saginaw County, MI | ||
| 41060 | St. Cloud, MN | 0.9965 |
| Benton County, MN | ||
| Stearns County, MN | ||
| 41100 | St. George, UT | 0.9392 |
| Washington County, UT | ||
| 41140 | St. Joseph, MO-KS | 0.9519 |
| Doniphan County, KS | ||
| Andrew County, MO | ||
| Buchanan County, MO | ||
| DeKalb County, MO | ||
| 41180 | St. Louis, MO-IL | 0.8954 |
| Bond County, IL | ||
| Calhoun County, IL | ||
| Clinton County, IL | ||
| Jersey County, IL | ||
| Macoupin County, IL | ||
| Madison County, IL | ||
| Monroe County, IL | ||
| St. Clair County, IL | ||
| Crawford County, MO | ||
| Franklin County, MO | ||
| Jefferson County, MO | ||
| Lincoln County, MO | ||
| St. Charles County, MO | ||
| St. Louis County, MO | ||
| Warren County, MO | ||
| Washington County, MO | ||
| St. Louis City, MO | ||
| 41420 | Salem, OR | 1.0442 |
| Marion County, OR | ||
| Polk County, OR | ||
| 41500 | Salinas, CA | 1.4128 |
| Monterey County, CA | ||
| 41540 | Salisbury, MD | 0.9064 |
| Somerset County, MD | ||
| Wicomico County, MD | ||
| 41620 | Salt Lake City, UT | 0.9421 |
| Salt Lake County, UT | ||
| Summit County, UT | ||
| Tooele County, UT | ||
| 41660 | San Angelo, TX | 0.8271 |
| Irion County, TX | ||
| Tom Green County, TX | ||
| 41700 | San Antonio, TX | 0.8980 |
| Atascosa County, TX | ||
| Bandera County, TX | ||
| Bexar County, TX | ||
| Comal County, TX | ||
| Guadalupe County, TX | ||
| Kendall County, TX | ||
| Medina County, TX | ||
| Wilson County, TX | ||
| 41740 | San Diego-Carlsbad-San Marcos, CA | 1.1413 |
| San Diego County, CA | ||
| 41780 | Sandusky, OH | 0.9019 |
| Erie County, OH | ||
| 41884 | San Francisco-San Mateo-Redwood City, CA | 1.4994 |
| Marin County, CA | ||
| San Francisco County, CA | ||
| San Mateo County, CA | ||
| 41900 | San German-Cabo Rojo, PR | 0.4650 |
| Cabo Rojo Municipio, PR | ||
| Lajas Municipio, PR | ||
| Sabana Grande Municipio, PR | ||
| San German Municipio, PR | ||
| 41940 | San Jose-Sunnyvale-Santa Clara, CA | 1.5099 |
| San Benito County, CA | ||
| Santa Clara County, CA | ||
| 41980 | San Juan-Caguas-Guaynabo, PR | 0.4621 |
| Aguas Buenas Municipio, PR | ||
| Aibonito Municipio, PR | ||
| Arecibo Municipio, PR | ||
| Barceloneta Municipio, PR | ||
| Barranquitas Municipio, PR | ||
| Bayamon Municipio, PR | ||
| Caguas Municipio, PR | ||
| Camuy Municipio, PR | ||
| Canovanas Municipio, PR | ||
| Carolina Municipio, PR | ||
| Catano Municipio, PR | ||
| Cayey Municipio, PR | ||
| Ciales Municipio, PR | ||
| Cidra Municipio, PR | ||
| Comerio Municipio, PR | ||
| Corozal Municipio, PR | ||
| Dorado Municipio, PR | ||
| Florida Municipio, PR | ||
| Guaynabo Municipio, PR | ||
| Gurabo Municipio, PR | ||
| Hatillo Municipio, PR | ||
| Humacao Municipio, PR | ||
| Juncos Municipio, PR | ||
| Las Piedras Municipio, PR | ||
| Loiza Municipio, PR | ||
| ManatiMunicipio, PR | ||
| Maunabo Municipio, PR | ||
| Morovis Municipio, PR | ||
| Naguabo Municipio, PR | ||
| Naranjito Municipio, PR | ||
| Orocovis Municipio, PR | ||
| Quebradillas Municipio, PR | ||
| Rio Grande Municipio, PR | ||
| San Juan Municipio, PR | ||
| San Lorenzo Municipio, PR | ||
| Toa Alta Municipio, PR | ||
| Toa Baja Municipio, PR | ||
| Trujillo Alto Municipio, PR | ||
| Vega Alta Municipio, PR | ||
| Vega Baja Municipio, PR | ||
| Yabucoa Municipio, PR | ||
| 42020 | San Luis Obispo-Paso Robles, CA | 1.1349 |
| San Luis Obispo County, CA | ||
| 42044 | Santa Ana-Anaheim-Irvine, CA | 1.1559 |
| Orange County, CA | ||
| 42060 | Santa Barbara-Santa Maria-Goleta, CA | 1.1694 |
| Santa Barbara County, CA | ||
| 42100 | Santa Cruz-Watsonville, CA | 1.5166 |
| Santa Cruz County, CA | ||
| 42140 | Santa Fe, NM | 1.0920 |
| Santa Fe County, NM | ||
| 42220 | Santa Rosa-Petaluma, CA | 1.3493 |
| Sonoma County, CA | ||
| 42260 | Sarasota-Bradenton-Venice, FL | 0.9639 |
| Manatee County, FL | ||
| Sarasota County, FL | ||
| 42340 | Savannah, GA | 0.9461 |
| Bryan County, GA | ||
| Chatham County, GA | ||
| Effingham County, GA | ||
| 42540 | Scranton--Wilkes-Barre, PA | 0.8540 |
| Lackawanna County, PA | ||
| Luzerne County, PA | ||
| Wyoming County, PA | ||
| 42644 | Seattle-Bellevue-Everett, WA | 1.1577 |
| King County, WA | ||
| Snohomish County, WA | ||
| 43100 | Sheboygan, WI | 0.8911 |
| Sheboygan County, WI | ||
| 43300 | Sherman-Denison, TX | 0.9507 |
| Grayson County, TX | ||
| 43340 | Shreveport-Bossier City, LA | 0.8760 |
| Bossier Parish, LA | ||
| Caddo Parish, LA | ||
| De Soto Parish, LA | ||
| 43580 | Sioux City, IA-NE-SD | 0.9381 |
| Woodbury County, IA | ||
| Dakota County, NE | ||
| Dixon County, NE | ||
| Union County, SD | ||
| 43620 | Sioux Falls, SD | 0.9635 |
| Lincoln County, SD | ||
| McCook County, SD | ||
| Minnehaha County, SD | ||
| Turner County, SD | ||
| 43780 | South Bend-Mishawaka, IN-MI | 0.9788 |
| St. Joseph County, IN | ||
| Cass County, MI | ||
| 43900 | Spartanburg, SC | 0.9172 |
| Spartanburg County, SC | ||
| 44060 | Spokane, WA | 1.0905 |
| Spokane County, WA | ||
| 44100 | Springfield, IL | 0.8792 |
| Menard County, IL | ||
| Sangamon County, IL | ||
| 44140 | Springfield, MA | 1.0248 |
| Franklin County, MA | ||
| Hampden County, MA | ||
| Hampshire County, MA | ||
| 44180 | Springfield, MO | 0.8237 |
| Christian County, MO | ||
| Dallas County, MO | ||
| Greene County, MO | ||
| Polk County, MO | ||
| Webster County, MO | ||
| 44220 | Springfield, OH | 0.8396 |
| Clark County, OH | ||
| 44300 | State College, PA | 0.8356 |
| Centre County, PA | ||
| 44700 | Stockton, CA | 1.1307 |
| San Joaquin County, CA | ||
| 44940 | Sumter, SC | 0.8377 |
| Sumter County, SC | ||
| 45060 | Syracuse, NY | 0.9574 |
| Madison County, NY | ||
| Onondaga County, NY | ||
| Oswego County, NY | ||
| 45104 | Tacoma, WA | 1.0742 |
| Pierce County, WA | ||
| 45220 | Tallahassee, FL | 0.8688 |
| Gadsden County, FL | ||
| Jefferson County, FL | ||
| Leon County, FL | ||
| Wakulla County, FL | ||
| 45300 | Tampa-St. Petersburg-Clearwater, FL | 0.9233 |
| Hernando County, FL | ||
| Hillsborough County, FL | ||
| Pasco County, FL | ||
| Pinellas County, FL | ||
| 45460 | Terre Haute, IN | 0.8304 |
| Clay County, IN | ||
| Sullivan County, IN | ||
| Vermillion County, IN | ||
| Vigo County, IN | ||
| 45500 | Texarkana, TX-Texarkana, AR | 0.8283 |
| Miller County, AR | ||
| Bowie County, TX | ||
| 45780 | Toledo, OH | 0.9574 |
| Fulton County, OH | ||
| Lucas County, OH | ||
| Ottawa County, OH | ||
| Wood County, OH | ||
| 45820 | Topeka, KS | 0.8920 |
| Jackson County, KS | ||
| Jefferson County, KS | ||
| Osage County, KS | ||
| Shawnee County, KS | ||
| Wabaunsee County, KS | ||
| 45940 | Trenton-Ewing, NJ | 1.0834 |
| Mercer County, NJ | ||
| 46060 | Tucson, AZ | 0.9007 |
| Pima County, AZ | ||
| 46140 | Tulsa, OK | 0.8543 |
| Creek County, OK | ||
| Okmulgee County, OK | ||
| Osage County, OK | ||
| Pawnee County, OK | ||
| Rogers County, OK | ||
| Tulsa County, OK | ||
| Wagoner County, OK | ||
| 46220 | Tuscaloosa, AL | 0.8645 |
| Greene County, AL | ||
| Hale County, AL | ||
| Tuscaloosa County, AL | ||
| 46340 | Tyler, TX | 0.9168 |
| Smith County, TX | ||
| 46540 | Utica-Rome, NY | 0.8358 |
| Herkimer County, NY | ||
| Oneida County, NY | ||
| 46660 | Valdosta, GA | 0.8866 |
| Brooks County, GA | ||
| Echols County, GA | ||
| Lanier County, GA | ||
| Lowndes County, GA | ||
| 46700 | Vallejo-Fairfield, CA | 1.4936 |
| Solano County, CA | ||
| 46940 | Vero Beach, FL | 0.9434 |
| Indian River County, FL | ||
| 47020 | Victoria, TX | 0.8160 |
| Calhoun County, TX | ||
| Goliad County, TX | ||
| Victoria County, TX | ||
| 47220 | Vineland-Millville-Bridgeton, NJ | 0.9827 |
| Cumberland County, NJ | ||
| 47260 | Virginia Beach-Norfolk-Newport News, VA-NC | 0.8799 |
| Currituck County, NC | ||
| Gloucester County, VA | ||
| Isle of Wight County, VA | ||
| James City County, VA | ||
| Mathews County, VA | ||
| Surry County, VA | ||
| York County, VA | ||
| Chesapeake City, VA | ||
| Hampton City, VA | ||
| Newport News City, VA | ||
| Norfolk City, VA | ||
| Poquoson City, VA | ||
| Portsmouth City, VA | ||
| Suffolk City, VA | ||
| Virginia Beach City, VA | ||
| Williamsburg City, VA | ||
| 47300 | Visalia-Porterville, CA | 1.0123 |
| Tulare County, CA | ||
| 47380 | Waco, TX | 0.8518 |
| McLennan County, TX | ||
| 47580 | Warner Robins, GA | 0.8645 |
| Houston County, GA | ||
| 47644 | Warren-Farmington Hills-Troy, MI | 0.9871 |
| Lapeer County, MI | ||
| Livingston County, MI | ||
| Macomb County, MI | ||
| Oakland County, MI | ||
| St. Clair County, MI | ||
| 47894 | Washington-Arlington-Alexandria, DC-VA-MD-WV | 1.0926 |
| District of Columbia, DC | ||
| Calvert County, MD | ||
| Charles County, MD | ||
| Prince George's County, MD | ||
| Arlington County, VA | ||
| Clarke County, VA | ||
| Fairfax County, VA | ||
| Fauquier County, VA | ||
| Loudoun County, VA | ||
| Prince William County, VA | ||
| Spotsylvania County, VA | ||
| Stafford County, VA | ||
| Warren County, VA | ||
| Alexandria City, VA | ||
| Fairfax City, VA | ||
| Falls Church City, VA | ||
| Fredericksburg City, VA | ||
| Manassas City, VA | ||
| Manassas Park City, VA | ||
| Jefferson County, WV | ||
| 47940 | Waterloo-Cedar Falls, IA | 0.8557 |
| Black Hawk County, IA | ||
| Bremer County, IA | ||
| Grundy County, IA | ||
| 48140 | Wausau, WI | 0.9590 |
| Marathon County, WI | ||
| 48260 | Weirton-Steubenville, WV-OH | 0.7819 |
| Jefferson County, OH | ||
| Brooke County, WV | ||
| Hancock County, WV | ||
| 48300 | Wenatchee, WA | 1.0070 |
| Chelan County, WA | ||
| Douglas County, WA | ||
| 48424 | West Palm Beach-Boca Raton-Boynton Beach, FL | 1.0067 |
| Palm Beach County, FL | ||
| 48540 | Wheeling, WV-OH | 0.7161 |
| Belmont County, OH | ||
| Marshall County, WV | ||
| Ohio County, WV | ||
| 48620 | Wichita, KS | 0.9153 |
| Butler County, KS | ||
| Harvey County, KS | ||
| Sedgwick County, KS | ||
| Sumner County, KS | ||
| 48660 | Wichita Falls, TX | 0.8285 |
| Archer County, TX | ||
| Clay County, TX | ||
| Wichita County, TX | ||
| 48700 | Williamsport, PA | 0.8364 |
| Lycoming County, PA | ||
| 48864 | Wilmington, DE-MD-NJ | 1.0471 |
| New Castle County, DE | ||
| Cecil County, MD | ||
| Salem County, NJ | ||
| 48900 | Wilmington, NC | 0.9582 |
| Brunswick County, NC | ||
| New Hanover County, NC | ||
| Pender County, NC | ||
| 49020 | Winchester, VA-WV | 1.0214 |
| Frederick County, VA | ||
| Winchester City, VA | ||
| Hampshire County, WV | ||
| 49180 | Winston-Salem, NC | 0.8944 |
| Davie County, NC | ||
| Forsyth County, NC | ||
| Stokes County, NC | ||
| Yadkin County, NC | ||
| 49340 | Worcester, MA | 1.1028 |
| Worcester County, MA | ||
| 49420 | Yakima, WA | 1.0155 |
| Yakima County, WA | ||
| 49500 | Yauco, PR | 0.4408 |
| Guanica Municipio, PR | ||
| Guayanilla Municipio, PR | ||
| Penuelas Municipio, PR | ||
| Yauco Municipio, PR | ||
| 49620 | York-Hanover, PA | 0.9347 |
| York County, PA | ||
| 49660 | Youngstown-Warren-Boardman, OH-PA | 0.8603 |
| Mahoning County, OH | ||
| Trumbull County, OH | ||
| Mercer County, PA | ||
| 49700 | Yuba City, CA | 1.0921 |
| Sutter County, CA | ||
| Yuba County, CA | ||
| 49740 | Yuma, AZ | 0.9126 |
| Yuma County, AZ | ||
| 1 At this time, there are no hospitals located in these urban areas on which to base a wage index. | ||
| CBSA code | Nonurban area | Wage index |
|---|---|---|
| 1 | Alabama | 0.7446 |
| 2 | Alaska | 1.1977 |
| 3 | Arizona | 0.8768 |
| 4 | Arkansas | 0.7466 |
| 5 | California | 1.1054 |
| 6 | Colorado | 0.9380 |
| 7 | Connecticut | 1.1730 |
| 8 | Delaware | 0.9579 |
| 10 | Florida | 0.8568 |
| 11 | Georgia | 0.7662 |
| 12 | Hawaii | 1.0551 |
| 13 | Idaho | 0.8037 |
| 14 | Illinois | 0.8271 |
| 15 | Indiana | 0.8624 |
| 16 | Iowa | 0.8509 |
| 17 | Kansas | 0.8035 |
| 18 | Kentucky | 0.7766 |
| 19 | Louisiana | 0.7411 |
| 20 | Maine | 0.8843 |
| 21 | Maryland | 0.9353 |
| 22 | Massachusetts1 | 1.2016 |
| 23 | Michigan | 0.8895 |
| 24 | Minnesota | 0.9132 |
| 25 | Mississippi | 0.7674 |
| 26 | Missouri | 0.7900 |
| 27 | Montana | 0.8762 |
| 28 | Nebraska | 0.8657 |
| 29 | Nevada | 0.9065 |
| 30 | New Hampshire | 1.0817 |
| 31 | New Jersey1 | |
| 32 | New Mexico | 0.8635 |
| 33 | New York | 0.8154 |
| 34 | North Carolina | 0.8540 |
| 35 | North Dakota | 0.7261 |
| 36 | Ohio | 0.8826 |
| 37 | Oklahoma | 0.7581 |
| 38 | Oregon | 0.9826 |
| 39 | Pennsylvania | 0.8291 |
| 40 | Puerto Rico1 | 0.4047 |
| 41 | Rhode Island1 | |
| 42 | South Carolina | 0.8638 |
| 43 | South Dakota | 0.8560 |
| 44 | Tennessee | 0.7895 |
| 45 | Texas | 0.8003 |
| 46 | Utah | 0.8118 |
| 47 | Vermont | 0.9830 |
| 48 | Virgin Islands | 0.7615 |
| 49 | Virginia | 0.8013 |
| 50 | Washington | 1.0510 |
| 51 | West Virginia | 0.7717 |
| 52 | Wisconsin | 0.9509 |
| 53 | Wyoming | 0.9257 |
| 65 | Guam | 0.9611 |
| 1 All counties within the State are classified as urban, with the exception of Massachusetts and Puerto Rico. Massachusetts and Puerto Rico have areas designated as rural; however, no short-term, acute care hospitals are located in the area(s) for FY 2006. Because more recent data is not available for those areas, we are using last year's wage index value. | ||
| SSA state/county code | County name | MSA No. | MSA urban/rural | 2006 MSA-based WI | 2006 CBSA-based WI | CBSA No. | CBSA urban/rural | Transition wage index * |
|---|---|---|---|---|---|---|---|---|
| 01000 | Autauga County, Alabama | 5240 | Urban | 0.8618 | 0.8618 | 33860 | Urban | 0.8618 |
| 01010 | Baldwin County, Alabama | 5160 | Urban | 0.7861 | 0.7446 | 99901 | Rural | 0.7654 |
| 01020 | Barbour County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01030 | Bibb County, Alabama | 01 | Rural | 0.7432 | 0.8959 | 13820 | Urban | 0.8196 |
| 01040 | Blount County, Alabama | 1000 | Urban | 0.9000 | 0.8959 | 13820 | Urban | 0.8980 |
| 01050 | Bullock County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01060 | Butler County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01070 | Calhoun County, Alabama | 0450 | Urban | 0.7682 | 0.7682 | 11500 | Urban | 0.7682 |
| 01080 | Chambers County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01090 | Cherokee County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01100 | Chilton County, Alabama | 01 | Rural | 0.7432 | 0.8959 | 13820 | Urban | 0.8196 |
| 01110 | Choctaw County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01120 | Clarke County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01130 | Clay County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01140 | Cleburne County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01150 | Coffee County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01160 | Colbert County, Alabama | 2650 | Urban | 0.8272 | 0.8272 | 22520 | Urban | 0.8272 |
| 01170 | Conecuh County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01180 | Coosa County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01190 | Covington County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01200 | Crenshaw County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01210 | Cullman County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01220 | Dale County, Alabama | 2180 | Urban | 0.7701 | 0.7446 | 99901 | Rural | 0.7574 |
| 01230 | Dallas County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01240 | De Kalb County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01250 | Elmore County, Alabama | 5240 | Urban | 0.8618 | 0.8618 | 33860 | Urban | 0.8618 |
| 01260 | Escambia County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01270 | Etowah County, Alabama | 2880 | Urban | 0.7938 | 0.7938 | 23460 | Urban | 0.7938 |
| 01280 | Fayette County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01290 | Franklin County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01300 | Geneva County, Alabama | 01 | Rural | 0.7432 | 0.7721 | 20020 | Urban | 0.7577 |
| 01310 | Greene County, Alabama | 01 | Rural | 0.7432 | 0.8645 | 46220 | Urban | 0.8039 |
| 01320 | Hale County, Alabama | 01 | Rural | 0.7432 | 0.8645 | 46220 | Urban | 0.8039 |
| 01330 | Henry County, Alabama | 01 | Rural | 0.7432 | .7721 | 20020 | Urban | 0.7577 |
| 01340 | Houston County, Alabama | 2180 | Urban | 0.7701 | 0.7721 | 20020 | Urban | 0.7711 |
| 01350 | Jackson County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01360 | Jefferson County, Alabama | 1000 | Urban | 0.9000 | 0.8959 | 13820 | Urban | 0.8980 |
| 01370 | Lamar County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01380 | Lauderdale County, Alabama | 2650 | Urban | 0.8272 | 0.8272 | 22520 | Urban | 0.8272 |
| 01390 | Lawrence County, Alabama | 2030 | Urban | 0.8469 | 0.8469 | 19460 | Urban | 0.8469 |
| 01400 | Lee County, Alabama | 0580 | Urban | 0.8100 | 0.8100 | 12220 | Urban | 0.8100 |
| 01410 | Limestone County, Alabama | 3440 | Urban | 0.9146 | 0.9146 | 26620 | Urban | 0.9146 |
| 01420 | Lowndes County, Alabama | 01 | Rural | 0.7432 | 0.8618 | 33860 | Urban | 0.8025 |
| 01430 | Macon County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01440 | Madison County, Alabama | 3440 | Urban | 0.9146 | 0.9146 | 26620 | Urban | 0.9146 |
| 01450 | Marengo County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01460 | Marion County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01470 | Marshall County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01480 | Mobile County, Alabama | 5160 | Urban | 0.7861 | 0.7891 | 33660 | Urban | 0.7876 |
| 01490 | Monroe County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01500 | Montgomery County, Alabama | 5240 | Urban | 0.8618 | 0.8618 | 33860 | Urban | 0.8618 |
| 01510 | Morgan County, Alabama | 2030 | Urban | 0.8469 | 0.8469 | 19460 | Urban | 0.8469 |
| 01520 | Perry County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01530 | Pickens County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01540 | Pike County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01550 | Randolph County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01560 | Russell County, Alabama | 1800 | Urban | 0.8560 | 0.8560 | 17980 | Urban | 0.8560 |
| 01570 | St Clair County, Alabama | 1000 | Urban | 0.9000 | 0.8959 | 13820 | Urban | 0.8980 |
| 01580 | Shelby County, Alabama | 1000 | Urban | 0.9000 | 0.8959 | 13820 | Urban | 0.8980 |
| 01590 | Sumter County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01600 | Talladega County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01610 | Tallapoosa County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01620 | Tuscaloosa County, Alabama | 8600 | Urban | 0.8764 | 0.8645 | 46220 | Urban | 0.8705 |
| 01630 | Walker County, Alabama | 01 | Rural | 0.7432 | 0.8959 | 13820 | Urban | 0.8196 |
| 01640 | Washington County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01650 | Wilcox County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 01660 | Winston County, Alabama | 01 | Rural | 0.7432 | 0.7446 | 99901 | Rural | 0.7439 |
| 02013 | Aleutians County East, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02016 | Aleutians County West, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02020 | Anchorage County, Alaska | 0380 | Urban | 1.1784 | 1.1895 | 11260 | Urban | 1.1840 |
| 02030 | Angoon County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02040 | Barrow-North Slope County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02050 | Bethel County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02060 | Bristol Bay Borough County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02068 | Denali County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02070 | Bristol Bay County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02080 | Cordova-Mc Carthy County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02090 | Fairbanks County, Alaska | 02 | Rural | 1.1888 | 1.1408 | 21820 | Urban | 1.1648 |
| 02100 | Haines County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02110 | Juneau County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02120 | Kenai-Cook Inlet County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02122 | Kenai Peninsula Borough, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02130 | Ketchikan County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02140 | Kobuk County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02150 | Kodiak County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02160 | Kuskokwin County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02164 | Lake and Peninsula Borough, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02170 | Matanuska County, Alaska | 02 | Rural | 1.1888 | 1.1895 | 11260 | Urban | 1.1892 |
| 02180 | Nome County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02185 | North Slope Borough, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02188 | Northwest Arctic Borough, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02190 | Outer Ketchikan County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02200 | Prince Of Wales County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02201 | Prince of Wales-Outer Ketchikan Census Area, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02210 | Seward County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02220 | Sitka County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02230 | Skagway-Yakutat County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02231 | Skagway-Yakutat-Angoon Census Area, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02232 | Skagway-Hoonah-Angoon Census Area, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02240 | Southeast Fairbanks County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02250 | Upper Yukon County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02260 | Valdz-Chitna-Whitier County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02261 | Valdex-Cordove Census Area, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02270 | Wade Hampton County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02280 | Wrangell-Petersburg County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02282 | Yakutat Borough, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 02290 | Yukon-Koyukuk County, Alaska | 02 | Rural | 1.1888 | 1.1977 | 99902 | Rural | 1.1933 |
| 03000 | Apache County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03010 | Cochise County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03020 | Coconino County, Arizona | 2620 | Urban | 1.1845 | 1.2092 | 22380 | Urban | 1.1969 |
| 03030 | Gila County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03040 | Graham County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03050 | Greenlee County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03055 | La Paz County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03060 | Maricopa County, Arizona | 6200 | Urban | 1.0127 | 1.0127 | 38060 | Urban | 1.0127 |
| 03070 | Mohave County, Arizona | 4120 | Urban | 1.1155 | 0.8768 | 99903 | Rural | 0.9962 |
| 03080 | Navajo County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03090 | Pima County, Arizona | 8520 | Urban | 0.9007 | 0.9007 | 46060 | Urban | 0.9007 |
| 03100 | Pinal County, Arizona | 6200 | Urban | 1.0127 | 1.0127 | 38060 | Urban | 1.0127 |
| 03110 | Santa Cruz County, Arizona | 03 | Rural | 0.9045 | 0.8768 | 99903 | Rural | 0.8907 |
| 03120 | Yavapai County, Arizona | 03 | Rural | 0.9045 | 0.9869 | 39140 | Urban | 0.9457 |
| 03130 | Yuma County, Arizona | 9360 | Urban | 0.9126 | 0.9126 | 49740 | Urban | 0.9126 |
| 04000 | Arkansas County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04010 | Ashley County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04020 | Baxter County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04030 | Benton County, Arkansas | 2580 | Urban | 0.8661 | 0.8661 | 22220 | Urban | 0.8661 |
| 04040 | Boone County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04050 | Bradley County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04060 | Calhoun County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04070 | Carroll County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04080 | Chicot County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04090 | Clark County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04100 | Clay County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04110 | Cleburne County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04120 | Cleveland County, Arkansas | 04 | Rural | 0.7744 | 0.8680 | 38220 | Urban | 0.8212 |
| 04130 | Columbia County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04140 | Conway County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04150 | Craighead County, Arkansas | 3700 | Urban | 0.7911 | 0.7911 | 27860 | Urban | 0.7911 |
| 04160 | Crawford County, Arkansas | 2720 | Urban | 0.8246 | 0.8230 | 22900 | Urban | 0.8238 |
| 04170 | Crittenden County, Arkansas | 4920 | Urban | 0.9416 | 0.9397 | 32820 | Urban | 0.9407 |
| 04180 | Cross County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04190 | Dallas County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04200 | Desha County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04210 | Drew County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04220 | Faulkner County, Arkansas | 4400 | Urban | 0.8747 | 0.8747 | 30780 | Urban | 0.8747 |
| 04230 | Franklin County, Arkansas | 04 | Rural | 0.7744 | 0.8230 | 22900 | Urban | 0.7987 |
| 04240 | Fulton County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04250 | Garland County, Arkansas | 04 | Rural | 0.7744 | 0.9005 | 26300 | Urban | 0.8375 |
| 04260 | Grant County, Arkansas | 04 | Rural | 0.7744 | 0.8747 | 30780 | Urban | 0.8246 |
| 04270 | Greene County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 4280 | Hempstead County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04290 | Hot Spring County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04300 | Howard County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04310 | Independence County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04320 | Izard County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04330 | Jackson County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04340 | Jefferson County, Arkansas | 6240 | Urban | 0.8680 | 0.8680 | 38220 | Urban | 0.8680 |
| 04350 | Johnson County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04360 | Lafayette County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04370 | Lawrence County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04380 | Lee County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04390 | Lincoln County, Arkansas | 04 | Rural | 0.7744 | 0.8680 | 38220 | Urban | 0.8212 |
| 04400 | Little River County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04410 | Logan County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04420 | Lonoke County, Arkansas | 4400 | Urban | 0.8747 | 0.8747 | 30780 | Urban | 0.8747 |
| 04430 | Madison County, Arkansas | 04 | Rural | 0.7744 | 0.8661 | 22220 | Urban | 0.8203 |
| 04440 | Marion County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04450 | Miller County, Arkansas | 8360 | Urban | 0.8283 | 0.8283 | 45500 | Urban | 0.8283 |
| 04460 | Mississippi County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04470 | Monroe County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04480 | Montgomery County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04490 | Nevada County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04500 | Newton County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04510 | Ouachita County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04520 | Perry County, Arkansas | 04 | Rural | 0.7744 | 0.8747 | 30780 | Urban | 0.8246 |
| 04530 | Phillips County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04540 | Pike County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04550 | Poinsett County, Arkansas | 04 | Rural | 0.7744 | 0.7911 | 27860 | Urban | 0.7828 |
| 04560 | Polk County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04570 | Pope County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04580 | Prairie County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04590 | Pulaski County, Arkansas | 4400 | Urban | 0.8747 | 0.8747 | 30780 | Urban | 0.8747 |
| 04600 | Randolph County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04610 | St Francis County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04620 | Saline County, Arkansas | 4400 | Urban | 0.8747 | 0.8747 | 30780 | Urban | 0.8747 |
| 04630 | Scott County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04640 | Searcy County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04650 | Sebastian County, Arkansas | 2720 | Urban | 0.8246 | 0.8230 | 22900 | Urban | 0.8238 |
| 04660 | Sevier County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04670 | Sharp County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04680 | Stone County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04690 | Union County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04700 | Van Buren County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04710 | Washington County, Arkansas | 2580 | Urban | 0.8661 | 0.8661 | 22220 | Urban | 0.8661 |
| 04720 | White County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04730 | Woodruff County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 04740 | Yell County, Arkansas | 04 | Rural | 0.7744 | 0.7466 | 99904 | Rural | 0.7605 |
| 05000 | Alameda County, California | 5775 | Urban | 1.5346 | 1.5346 | 36084 | Urban | 1.5346 |
| 05010 | Alpine County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05020 | Amador County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05030 | Butte County, California | 1620 | Urban | 1.0511 | 1.0511 | 17020 | Urban | 1.0511 |
| 05040 | Calaveras County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05050 | Colusa County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05060 | Contra Costa County, California | 5775 | Urban | 1.5346 | 1.5346 | 36084 | Urban | 1.5346 |
| 05070 | Del Norte County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05080 | Eldorado County, California | 6920 | Urban | 1.3143 | 1.2969 | 40900 | Urban | 1.3056 |
| 05090 | Fresno County, California | 2840 | Urban | 1.0428 | 1.0538 | 23420 | Urban | 1.0483 |
| 05100 | Glenn County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05110 | Humboldt County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05120 | Imperial County, California | 05 | Rural | 1.0775 | 0.8906 | 20940 | Urban | 0.9841 |
| 05130 | Inyo County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05140 | Kern County, California | 0680 | Urban | 1.0470 | 1.0470 | 12540 | Urban | 1.0470 |
| 05150 | Kings County, California | 05 | Rural | 1.0775 | 1.0036 | 25260 | Urban | 1.0406 |
| 05160 | Lake County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05170 | Lassen County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05200 | Los Angeles County, California | 4480 | Urban | 1.1783 | 1.1783 | 31084 | Urban | 1.1783 |
| 05210 | Los Angeles County, California | 4480 | Urban | 1.1783 | 1.1783 | 31084 | Urban | 1.1783 |
| 05300 | Madera County, California | 2840 | Urban | 1.0428 | 0.8713 | 31460 | Urban | 0.9571 |
| 05310 | Marin County, California | 7360 | Urban | 1.4994 | 1.4994 | 41884 | Urban | 1.4994 |
| 05320 | Mariposa County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05330 | Mendocino County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05340 | Merced County, California | 4940 | Urban | 1.1109 | 1.1109 | 32900 | Urban | 1.1109 |
| 05350 | Modoc County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05360 | Mono County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05370 | Monterey County, California | 7120 | Urban | 1.4128 | 1.4128 | 41500 | Urban | 1.4128 |
| 05380 | Napa County, California | 8720 | Urban | 1.3983 | 1.2643 | 34900 | Urban | 1.3313 |
| 05390 | Nevada County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05400 | Orange County, California | 5945 | Urban | 1.1559 | 1.1559 | 42044 | Urban | 1.1559 |
| 05410 | Placer County, California | 6920 | Urban | 1.3143 | 1.2969 | 40900 | Urban | 1.3056 |
| 05420 | Plumas County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05430 | Riverside County, California | 6780 | Urban | 1.1027 | 1.1027 | 40140 | Urban | 1.1027 |
| 05440 | Sacramento County, California | 6920 | Urban | 1.3143 | 1.2969 | 40900 | Urban | 1.3056 |
| 05450 | San Benito County, California | 05 | Rural | 1.0775 | 1.5099 | 41940 | Urban | 1.2937 |
| 05460 | San Bernardino County, California | 6780 | Urban | 1.1027 | 1.1027 | 40140 | Urban | 1.1027 |
| 05470 | San Diego County, California | 7320 | Urban | 1.1413 | 1.1413 | 41740 | Urban | 1.1413 |
| 05480 | San Francisco County, California | 7360 | Urban | 1.4994 | 1.4994 | 41884 | Urban | 1.4994 |
| 05490 | San Joaquin County, California | 8120 | Urban | 1.1307 | 1.1307 | 44700 | Urban | 1.1307 |
| 05500 | San Luis Obispo County, California | 7460 | Urban | 1.1349 | 1.1349 | 42020 | Urban | 1.1349 |
| 05510 | San Mateo County, California | 7360 | Urban | 1.4994 | 1.4994 | 41884 | Urban | 1.4994 |
| 05520 | Santa Barbara County, California | 7480 | Urban | 1.1694 | 1.1694 | 42060 | Urban | 1.1694 |
| 05530 | Santa Clara County, California | 7400 | Urban | 1.5118 | 1.5099 | 41940 | Urban | 1.5109 |
| 05540 | Santa Cruz County, California | 7485 | Urban | 1.5166 | 1.5166 | 42100 | Urban | 1.5166 |
| 05550 | Shasta County, California | 6690 | Urban | 1.2203 | 1.2203 | 39820 | Urban | 1.2203 |
| 05560 | Sierra County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05570 | Siskiyou County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05580 | Solano County, California | 8720 | Urban | 1.3983 | 1.4936 | 46700 | Urban | 1.4460 |
| 05590 | Sonoma County, California | 7500 | Urban | 1.3493 | 1.3493 | 42220 | Urban | 1.3493 |
| 05600 | Stanislaus County, California | 5170 | Urban | 1.1885 | 1.1885 | 33700 | Urban | 1.1885 |
| 05610 | Sutter County, California | 9340 | Urban | 1.0921 | 1.0921 | 49700 | Urban | 1.0921 |
| 05620 | Tehama County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05630 | Trinity County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05640 | Tulare County, California | 8780 | Urban | 1.0123 | 1.0123 | 47300 | Urban | 1.0123 |
| 05650 | Tuolumne County, California | 05 | Rural | 1.0775 | 1.1054 | 99905 | Rural | 1.0915 |
| 05660 | Ventura County, California | 8735 | Urban | 1.1622 | 1.1622 | 37100 | Urban | 1.1622 |
| 05670 | Yolo County, California | 9270 | Urban | 0.9950 | 1.2969 | 40900 | Urban | 1.1460 |
| 05680 | Yuba County, California | 9340 | Urban | 1.0921 | 1.0921 | 49700 | Urban | 1.0921 |
| 06000 | Adams County, Colorado | 2080 | Urban | 1.0723 | 1.0723 | 19740 | Urban | 1.0723 |
| 06010 | Alamosa County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06020 | Arapahoe County, Colorado | 2080 | Urban | 1.0723 | 1.0723 | 19740 | Urban | 1.0723 |
| 06030 | Archuleta County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06040 | Baca County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06050 | Bent County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06060 | Boulder County, Colorado | 1125 | Urban | 0.9734 | 0.9734 | 14500 | Urban | 0.9734 |
| 06070 | Chaffee County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06080 | Cheyenne County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06090 | Clear Creek County, Colorado | 06 | Rural | 0.9380 | 1.0723 | 19740 | Urban | 1.0052 |
| 06100 | Conejos County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06110 | Costilla County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06120 | Crowley County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06130 | Custer County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06140 | Delta County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06150 | Denver County, Colorado | 2080 | Urban | 1.0723 | 1.0723 | 19740 | Urban | 1.0723 |
| 06160 | Dolores County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06170 | Douglas County, Colorado | 2080 | Urban | 1.0723 | 1.0723 | 19740 | Urban | 1.0723 |
| 06180 | Eagle County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06190 | Elbert County, Colorado | 06 | Rural | 0.9380 | 1.0723 | 19740 | Urban | 1.0052 |
| 06200 | El Paso County, Colorado | 1720 | Urban | 0.9468 | 0.9468 | 17820 | Urban | 0.9468 |
| 06210 | Fremont County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06220 | Garfield County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06230 | Gilpin County, Colorado | 06 | Rural | 0.9380 | 1.0723 | 19740 | Urban | 1.0052 |
| 06240 | Grand County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06250 | Gunnison County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06260 | Hinsdale County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06270 | Huerfano County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06280 | Jackson County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06290 | Jefferson County, Colorado | 2080 | Urban | 1.0723 | 1.0723 | 19740 | Urban | 1.0723 |
| 06300 | Kiowa County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06310 | Kit Carson County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06320 | Lake County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06330 | La Plata County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06340 | Larimer County, Colorado | 2670 | Urban | 1.0122 | 1.0122 | 22660 | Urban | 1.0122 |
| 06350 | Las Animas County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06360 | Lincoln County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06370 | Logan County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06380 | Mesa County, Colorado | 2995 | Urban | 0.9550 | 0.9550 | 24300 | Urban | 0.9550 |
| 06390 | Mineral County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06400 | Moffat County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06410 | Montezuma County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06420 | Montrose County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06430 | Morgan County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06440 | Otero County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06450 | Ouray County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06460 | Park County, Colorado | 06 | Rural | 0.9380 | 1.0723 | 19740 | Urban | 1.0052 |
| 06470 | Phillips County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06480 | Pitkin County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06490 | Prowers County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06500 | Pueblo County, Colorado | 6560 | Urban | 0.8623 | 0.8623 | 39380 | Urban | 0.8623 |
| 06510 | Rio Blanco County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06520 | Rio Grande County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06530 | Routt County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06540 | Saguache County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06550 | San Juan County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06560 | San Miguel County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06570 | Sedgwick County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06580 | Summit County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06590 | Teller County, Colorado | 06 | Rural | 0.9380 | 0.9468 | 17820 | Urban | 0.9424 |
| 06600 | Washington County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06610 | Weld County, Colorado | 3060 | Urban | 0.9570 | 0.9570 | 24540 | Urban | 0.9570 |
| 06620 | Yuma County, Colorado | 06 | Rural | 0.9380 | 0.9380 | 99906 | Rural | 0.9380 |
| 06630 | Broomfield County, Colorado | 2080 | Urban | 1.0723 | 1.0723 | 19740 | Urban | 1.0723 |
| 07000 | Fairfield County, Connecticut | 5483 | Urban | 1.2196 | 1.2592 | 14860 | Urban | 1.2394 |
| 07010 | Hartford County, Connecticut | 3283 | Urban | 1.1073 | 1.1073 | 25540 | Urban | 1.1073 |
| 07020 | Litchfield County, Connecticut | 3283 | Urban | 1.1073 | 1.1073 | 25540 | Urban | 1.1073 |
| 07030 | Middlesex County, Connecticut | 3283 | Urban | 1.1073 | 1.1073 | 25540 | Urban | 1.1073 |
| 07040 | New Haven County, Connecticut | 5483 | Urban | 1.2196 | 1.1887 | 35300 | Urban | 1.2042 |
| 07050 | New London County, Connecticut | 5523 | Urban | 1.1345 | 1.1345 | 35980 | Urban | 1.1345 |
| 07060 | Tolland County, Connecticut | 3283 | Urban | 1.1073 | 1.1073 | 25540 | Urban | 1.1073 |
| 07070 | Windham County, Connecticut | 07 | Rural | 1.1730 | 1.1730 | 99907 | Rural | 1.1730 |
| 08000 | Kent County, Delaware | 2190 | Urban | 0.9776 | 0.9776 | 20100 | Urban | 0.9776 |
| 08010 | New Castle County, Delaware | 9160 | Urban | 1.0527 | 1.0471 | 48864 | Urban | 1.0499 |
| 08020 | Sussex County, Delaware | 08 | Rural | 0.9579 | 0.9579 | 99908 | Rural | 0.9579 |
| 09000 | Washington Dc County, Dist Of Col | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 10000 | Alachua County, Florida | 2900 | Urban | 0.9388 | 0.9388 | 23540 | Urban | 0.9388 |
| 10010 | Baker County, Florida | 10 | Rural | 0.8677 | 0.9290 | 27260 | Urban | 0.8984 |
| 10020 | Bay County, Florida | 6015 | Urban | 0.8005 | 0.8005 | 37460 | Urban | 0.8005 |
| 10030 | Bradford County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10040 | Brevard County, Florida | 4900 | Urban | 0.9839 | 0.9839 | 37340 | Urban | 0.9839 |
| 10050 | Broward County, Florida | 2680 | Urban | 1.0432 | 1.0432 | 22744 | Urban | 1.0432 |
| 10060 | Calhoun County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10070 | Charlotte County, Florida | 6580 | Urban | 0.9255 | 0.9255 | 39460 | Urban | 0.9255 |
| 10080 | Citrus County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10090 | Clay County, Florida | 3600 | Urban | 0.9299 | 0.9290 | 27260 | Urban | 0.9295 |
| 10100 | Collier County, Florida | 5345 | Urban | 1.0139 | 1.0139 | 34940 | Urban | 1.0139 |
| 10110 | Columbia County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10120 | Dade County, Florida | 5000 | Urban | 0.9750 | 0.9750 | 33124 | Urban | 0.9750 |
| 10130 | De Soto County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10140 | Dixie County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10150 | Duval County, Florida | 3600 | Urban | 0.9299 | 0.9290 | 27260 | Urban | 0.9295 |
| 10160 | Escambia County, Florida | 6080 | Urban | 0.8096 | 0.8096 | 37860 | Urban | 0.8096 |
| 10170 | Flagler County, Florida | 2020 | Urban | 0.9325 | 0.8568 | 99910 | Rural | 0.8947 |
| 10180 | Franklin County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10190 | Gadsden County, Florida | 8240 | Urban | 0.8688 | 0.8688 | 45220 | Urban | 0.8688 |
| 10200 | Gilchrist County, Florida | 10 | Rural | 0.8677 | 0.9388 | 23540 | Urban | 0.9033 |
| 10210 | Glades County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10220 | Gulf County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10230 | Hamilton County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10240 | Hardee County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10250 | Hendry County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10260 | Hernando County, Florida | 8280 | Urban | 0.9233 | 0.9233 | 45300 | Urban | 0.9233 |
| 10270 | Highlands County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10280 | Hillsborough County, Florida | 8280 | Urban | 0.9233 | 0.9233 | 45300 | Urban | 0.9233 |
| 10290 | Holmes County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10300 | Indian River County, Florida | 10 | Rural | 0.8677 | 0.9434 | 46940 | Urban | 0.9056 |
| 10310 | Jackson County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10320 | Jefferson County, Florida | 10 | Rural | 0.8677 | 0.8688 | 45220 | Urban | 0.8683 |
| 10330 | Lafayette County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10340 | Lake County, Florida | 5960 | Urban | 0.9464 | 0.9464 | 36740 | Urban | 0.9464 |
| 10350 | Lee County, Florida | 2700 | Urban | 0.9356 | 0.9356 | 15980 | Urban | 0.9356 |
| 10360 | Leon County, Florida | 8240 | Urban | 0.8688 | 0.8688 | 45220 | Urban | 0.8688 |
| 10370 | Levy County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10380 | Liberty County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10390 | Madison County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10400 | Manatee County, Florida | 7510 | Urban | 0.9639 | 0.9639 | 42260 | Urban | 0.9639 |
| 10410 | Marion County, Florida | 5790 | Urban | 0.8925 | 0.8925 | 36100 | Urban | 0.8925 |
| 10420 | Martin County, Florida | 2710 | Urban | 1.0123 | 1.0123 | 38940 | Urban | 1.0123 |
| 10430 | Monroe County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10440 | Nassau County, Florida | 3600 | Urban | 0.9299 | 0.9290 | 27260 | Urban | 0.9295 |
| 10450 | Okaloosa County, Florida | 2750 | Urban | 0.8872 | 0.8872 | 23020 | Urban | 0.8872 |
| 10460 | Okeechobee County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10470 | Orange County, Florida | 5960 | Urban | 0.9464 | 0.9464 | 36740 | Urban | 0.9464 |
| 10480 | Osceola County, Florida | 5960 | Urban | 0.9464 | 0.9464 | 36740 | Urban | 0.9464 |
| 10490 | Palm Beach County, Florida | 8960 | Urban | 1.0067 | 1.0067 | 48424 | Urban | 1.0067 |
| 10500 | Pasco County, Florida | 8280 | Urban | 0.9233 | 0.9233 | 45300 | Urban | 0.9233 |
| 10510 | Pinellas County, Florida | 8280 | Urban | 0.9233 | 0.9233 | 45300 | Urban | 0.9233 |
| 10520 | Polk County, Florida | 3980 | Urban | 0.8912 | 0.8912 | 29460 | Urban | 0.8912 |
| 10530 | Putnam County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10540 | Johns County, Florida | 3600 | Urban | 0.9299 | 0.9290 | 27260 | Urban | 0.9295 |
| 10550 | St Lucie County, Florida | 2710 | Urban | 1.0123 | 1.0123 | 38940 | Urban | 1.0123 |
| 10560 | Santa Rosa County, Florida | 6080 | Urban | 0.8096 | 0.8096 | 37860 | Urban | 0.8096 |
| 10570 | Sarasota County, Florida | 7510 | Urban | 0.9639 | 0.9639 | 42260 | Urban | 0.9639 |
| 10580 | Seminole County, Florida | 5960 | Urban | 0.9464 | 0.9464 | 36740 | Urban | 0.9464 |
| 10590 | Sumter County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10600 | Suwannee County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10610 | Taylor County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10620 | Union County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10630 | Volusia County, Florida | 2020 | Urban | 0.9325 | 0.9299 | 19660 | Urban | 0.9312 |
| 10640 | Wakulla County, Florida | 10 | Rural | 0.8677 | 0.8688 | 45220 | Urban | 0.8683 |
| 10650 | Walton County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 10660 | Washington County, Florida | 10 | Rural | 0.8677 | 0.8568 | 99910 | Rural | 0.8623 |
| 11000 | Appling County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11010 | Atkinson County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11011 | Bacon County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11020 | Baker County, Georgia | 11 | Rural | 0.8166 | 0.8628 | 10500 | Urban | 0.8397 |
| 11030 | Baldwin County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11040 | Banks County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11050 | Barrow County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11060 | Bartow County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11070 | Ben Hill County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11080 | Berrien County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11090 | Bibb County, Georgia | 4680 | Urban | 0.9277 | 0.9443 | 31420 | Urban | 0.9360 |
| 11100 | Bleckley County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11110 | Brantley County, Georgia | 11 | Rural | 0.8166 | 0.9311 | 15260 | Urban | 0.8739 |
| 11120 | Brooks County, Georgia | 11 | Rural | 0.8166 | 0.8866 | 46660 | Urban | 0.8516 |
| 11130 | Bryan County, Georgia | 7520 | Urban | 0.9461 | 0.9461 | 42340 | Urban | 0.9461 |
| 11140 | Bulloch County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11150 | Burke County, Georgia | 11 | Rural | 0.8166 | 0.9748 | 12260 | Urban | 0.8957 |
| 11160 | Butts County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11161 | Calhoun County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11170 | Camden County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11180 | Candler County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11190 | Carroll County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11200 | Catoosa County, Georgia | 1560 | Urban | 0.9088 | 0.9088 | 16860 | Urban | 0.9088 |
| 11210 | Charlton County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11220 | Chatham County, Georgia | 7520 | Urban | 0.9461 | 0.9461 | 42340 | Urban | 0.9461 |
| 11230 | Chattahoochee County, Georgia | 1800 | Urban | 0.8560 | 0.8560 | 17980 | Urban | 0.8560 |
| 11240 | Chattooga County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11250 | Cherokee County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11260 | Clarke County, Georgia | 0500 | Urban | 0.9855 | 0.9855 | 12020 | Urban | 0.9855 |
| 11270 | Clay County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11280 | Clayton County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11281 | Clinch County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11290 | Cobb County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11291 | Coffee County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11300 | Colquitt County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11310 | Columbia County, Georgia | 0600 | Urban | 0.9808 | 0.9748 | 12260 | Urban | 0.9778 |
| 11311 | Cook County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11320 | Coweta County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11330 | Crawford County, Georgia | 11 | Rural | 0.8166 | 0.9443 | 31420 | Urban | 0.8805 |
| 11340 | Crisp County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11341 | Dade County, Georgia | 1560 | Urban | 0.9088 | 0.9088 | 16860 | Urban | 0.9088 |
| 11350 | Dawson County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11360 | Decatur County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11370 | De Kalb County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11380 | Dodge County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11381 | Dooly County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11390 | Dougherty County, Georgia | 0120 | Urban | 0.8628 | 0.8628 | 10500 | Urban | 0.8628 |
| 11400 | Douglas County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11410 | Early County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11420 | Echols County, Georgia | 11 | Rural | 0.8166 | 0.8866 | 46660 | Urban | 0.8516 |
| 11421 | Effingham County, Georgia | 7520 | Urban | 0.9461 | 0.9461 | 42340 | Urban | 0.9461 |
| 11430 | Elbert County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11440 | Emanuel County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11441 | Evans County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11450 | Fannin County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11451 | Fayette County, Georgia | 0520 | Urban | 9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11460 | Floyd County, Georgia | 11 | Rural | 0.8166 | 0.9414 | 40660 | Urban | 0.8790 |
| 11461 | Forsyth County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11462 | Franklin County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11470 | Fulton County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11471 | Gilmer County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11480 | Glascock County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11490 | Glynn County, Georgia | 11 | Rural | 0.8166 | 0.9311 | 15260 | Urban | 0.8739 |
| 11500 | Gordon County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11510 | Grady County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11520 | Greene County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11530 | Gwinnett County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11540 | Habersham County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11550 | Hall County, Georgia | 11 | Rural | 0.8166 | 0.8874 | 23580 | Urban | 0.8520 |
| 11560 | Hancock County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11570 | Haralson County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11580 | Harris County, Georgia | 1800 | Urban | 0.8560 | 0.8560 | 17980 | Urban | 0.8560 |
| 11581 | Hart County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11590 | Heard County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11591 | Henry County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11600 | Houston County, Georgia | 4680 | Urban | 0.9277 | 0.8645 | 47580 | Urban | 0.8961 |
| 11601 | Irwin County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11610 | Jackson County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11611 | Jasper County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11612 | Jeff Davis County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11620 | Jefferson County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11630 | Jenkins County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11640 | Johnson County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11650 | Jones County, Georgia | 4680 | Urban | 0.9277 | 0.9443 | 31420 | Urban | 0.9360 |
| 11651 | Lamar County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11652 | Lanier County, Georgia | 11 | Rural | 0.8166 | 0.8866 | 46660 | Urban | 0.8516 |
| 11660 | Laurens County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11670 | Lee County, Georgia | 0120 | Urban | 0.8628 | 0.8628 | 10500 | Urban | 0.8628 |
| 11680 | Liberty County, Georgia | 11 | Rural | 0.8166 | (1 ) | 25980 | Urban | 0.8973 |
| 11690 | Lincoln County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11691 | Long County, Georgia | 11 | Rural | 0.8166 | (1 ) | 25980 | Urban | 0.8973 |
| 11700 | Lowndes County, Georgia | 11 | Rural | 0.8166 | 0.8866 | 46660 | Urban | 0.8516 |
| 11701 | Lumpkin County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11702 | Mc Duffie County, Georgia | 0600 | Urban | 0.9808 | 0.9748 | 12260 | Urban | 0.9778 |
| 11703 | Mc Intosh County, Georgia | 11 | Rural | 0.8166 | 0.9311 | 15260 | Urban | 0.8739 |
| 11710 | Macon County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11720 | Madison County, Georgia | 0500 | Urban | 0.9855 | 0.9855 | 12020 | Urban | 0.9855 |
| 11730 | Marion County, Georgia | 11 | Rural | 0.8166 | 0.8560 | 17980 | Urban | 0.8363 |
| 11740 | Meriwether County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11741 | Miller County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11750 | Mitchell County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11760 | Monroe County, Georgia | 11 | Rural | 0.8166 | 0.9443 | 31420 | Urban | 0.8805 |
| 11770 | Montgomery County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11771 | Morgan County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11772 | Murray County, Georgia | 11 | Rural | 0.8166 | 0.9079 | 19140 | Urban | 0.8623 |
| 11780 | Muscogee County, Georgia | 1800 | Urban | 0.8560 | 0.8560 | 17980 | Urban | 0.8560 |
| 11790 | Newton County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11800 | Oconee County, Georgia | 0500 | Urban | 0.9855 | 0.9855 | 12020 | Urban | 0.9855 |
| 11801 | Oglethorpe County, Georgia | 11 | Rural | 0.8166 | 0.9855 | 12020 | Urban | 0.9011 |
| 11810 | Paulding County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11811 | Peach County, Georgia | 4680 | Urban | 0.9277 | 0.7662 | 99911 | Rural | 0.8470 |
| 11812 | Pickens County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11820 | Pierce County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11821 | Pike County, Georgia | 11 | Rural | 0.8166 | 0.9793 | 12060 | Urban | 0.8980 |
| 11830 | Polk County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11831 | Pulaski County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11832 | Putnam County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11833 | Quitman County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11834 | Rabun County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11835 | Randolph County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11840 | Richmond County, Georgia | 0600 | Urban | 0.9808 | 0.9748 | 12260 | Urban | 10.9778 |
| 11841 | Rockdale County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11842 | Schley County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11850 | Screven County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11851 | Seminole County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11860 | Spalding County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11861 | Stephens County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11862 | Stewart County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11870 | Sumter County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11880 | Talbot County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11881 | Taliaferro County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11882 | Tattnall County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11883 | Taylor County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11884 | Telfair County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11885 | Terrell County, Georgia | 11 | Rural | 0.8166 | 0.8628 | 10500 | Urban | 0.8397 |
| 11890 | Thomas County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11900 | Tift County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11901 | Toombs County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11902 | Towns County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11903 | Treutlen County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11910 | Troup County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11911 | Turner County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11912 | Twiggs County, Georgia | 4680 | Urban | 0.9277 | 0.9443 | 31420 | Urban | 0.9360 |
| 11913 | Union County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11920 | Upson County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11921 | Walker County, Georgia | 1560 | Urban | 0.9088 | 0.9088 | 16860 | Urban | 0.9088 |
| 11930 | Walton County, Georgia | 0520 | Urban | 0.9793 | 0.9793 | 12060 | Urban | 0.9793 |
| 11940 | Ware County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11941 | Warren County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11950 | Washington County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11960 | Wayne County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11961 | Webster County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11962 | Wheeler County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11963 | White County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11970 | Whitfield County, Georgia | 11 | Rural | 0.8166 | 0.9079 | 19140 | Urban | 0.8623 |
| 11971 | Wilcox County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11972 | Wilkes County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11973 | Wilkinson County, Georgia | 11 | Rural | 0.8166 | 0.7662 | 99911 | Rural | 0.7914 |
| 11980 | Worth County, Georgia | 11 | Rural | 0.8166 | 0.8628 | 10500 | Urban | 0.8397 |
| 12005 | Kalawao County, Hawaii | 12 | Rural | 1.0551 | 1.0551 | 99912 | Rural | 1.0551 |
| 12010 | Hawaii County, Hawaii | 12 | Rural | 1.0551 | 1.0551 | 99912 | Rural | 1.0551 |
| 12020 | Honolulu County, Hawaii | 3320 | Urban | 1.1214 | 1.1214 | 26180 | Urban | 1.1214 |
| 12040 | Kauai County, Hawaii | 12 | Rural | 1.0551 | 1.0551 | 99912 | Rural | 1.0551 |
| 12050 | Maui County, Hawaii | 12 | Rural | 1.0551 | 1.0551 | 99912 | Rural | 1.0551 |
| 13000 | Ada County, Idaho | 1080 | Urban | 0.9052 | 0.9052 | 14260 | Urban | 0.9052 |
| 13010 | Adams County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13020 | Bannock County, Idaho | 6340 | Urban | 0.9351 | 0.9351 | 38540 | Urban | 0.9351 |
| 13030 | Bear Lake County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13040 | Benewah County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13050 | Bingham County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13060 | Blaine County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13070 | Boise County, Idaho | 13 | Rural | 0.9097 | 0.9052 | 14260 | Urban | 0.9075 |
| 13080 | Bonner County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13090 | Bonneville County, Idaho | 13 | Rural | 0.9097 | 0.9420 | 26820 | Urban | 0.9259 |
| 13100 | Boundary County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13110 | Butte County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13120 | Camas County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13130 | Canyon County, Idaho | 1080 | Urban | 0.9052 | 0.9052 | 14260 | Urban | 0.9052 |
| 13140 | Caribou County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13150 | Cassia County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13160 | Clark County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13170 | Clearwater County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13180 | Custer County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13190 | Elmore County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13200 | Franklin County, Idaho | 13 | Rural | 0.9097 | 0.9164 | 30860 | Urban | 0.9131 |
| 13210 | Fremont County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13220 | Gem County, Idaho | 13 | Rural | 0.9097 | 0.9052 | 14260 | Urban | 0.9075 |
| 13230 | Gooding County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13240 | Idaho County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13250 | Jefferson County, Idaho | 13 | Rural | 0.9097 | 0.9420 | 26820 | Urban | 0.9259 |
| 13260 | Jerome County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13270 | Kootenai County, Idaho | 13 | Rural | 0.9097 | 0.9647 | 17660 | Urban | 0.9372 |
| 13280 | Latah County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13290 | Lemhi County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13300 | Lewis County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13310 | Lincoln County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13320 | Madison County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13330 | Minidoka County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13340 | Nez Perce County, Idaho | 13 | Rural | 0.9097 | 0.9886 | 30300 | Urban | 0.9492 |
| 13350 | Oneida County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13360 | Owyhee County, Idaho | 13 | Rural | 0.9097 | 0.9052 | 14260 | Urban | 0.9075 |
| 13370 | Payette County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13380 | Power County, Idaho | 13 | Rural | 0.9097 | 0.9351 | 38540 | Urban | 0.9224 |
| 13390 | Shoshone County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13400 | Teton County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13410 | Twin Falls County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13420 | Valley County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 13430 | Washington County, Idaho | 13 | Rural | 0.9097 | 0.8037 | 99913 | Rural | 0.8567 |
| 14000 | Adams County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14010 | Alexander County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14020 | Bond County, Illinois | 14 | Rural | 0.8301 | 0.8954 | 41180 | Urban | 0.8628 |
| 14030 | Boone County, Illinois | 6880 | Urban | 0.9984 | 0.9984 | 40420 | Urban | 0.9984 |
| 14040 | Brown County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14050 | Bureau County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14060 | Calhoun County, Illinois | 14 | Rural | 0.8301 | 0.8954 | 41180 | Urban | 0.8628 |
| 14070 | Carroll County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14080 | Cass County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14090 | Champaign County, Illinois | 1400 | Urban | 0.9594 | 0.9594 | 16580 | Urban | 0.9594 |
| 14100 | Christian County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14110 | Clark County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14120 | Clay County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14130 | Clinton County, Illinois | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 14140 | Coles County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14141 | Cook County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14150 | Crawford County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14160 | Cumberland County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14170 | De Kalb County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14180 | De Witt County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14190 | Douglas County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14250 | Du Page County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14310 | Edgar County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14320 | Edwards County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14330 | Effingham County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14340 | Fayette County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14350 | Ford County, Illinois | 14 | Rural | 0.8301 | 0.9594 | 16580 | Urban | 0.8948 |
| 14360 | Franklin County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14370 | Fulton County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14380 | Gallatin County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14390 | Greene County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14400 | Grundy County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14410 | Hamilton County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14420 | Hancock County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14421 | Hardin County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14440 | Henderson County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14450 | Henry County, Illinois | 1960 | Urban | 0.8724 | 0.8724 | 19340 | Urban | 0.8724 |
| 14460 | Iroquois County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14470 | Jackson County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14480 | Jasper County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14490 | Jefferson County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14500 | Jersey County, Illinois | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 14510 | Jo Daviess County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14520 | Johnson County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14530 | Kane County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14540 | Kankakee County, Illinois | 3740 | Urban | 1.0721 | 1.0721 | 28100 | Urban | 1.0721 |
| 14550 | Kendall County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14560 | Knox County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14570 | Lake County, Illinois | 1600 | Urban | 1.0783 | 1.0429 | 29404 | Urban | 1.0606 |
| 14580 | La Salle County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14590 | Lawrence County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14600 | Lee County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14610 | Livingston County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14620 | Logan County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14630 | Mc Donough County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14640 | Mc Henry County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14650 | Mclean County, Illinois | 1040 | Urban | 0.9075 | 0.9075 | 14060 | Urban | 0.9075 |
| 14660 | Macon County, Illinois | 2040 | Urban | 0.8067 | 0.8067 | 19500 | Urban | 0.8067 |
| 14670 | Macoupin County, Illinois | 14 | Rural | 0.8301 | 0.8954 | 41180 | Urban | 0.8628 |
| 14680 | Madison County, Illinois | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 14690 | Marion County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14700 | Marshall County, Illinois | 14 | Rural | 0.8301 | 0.8870 | 37900 | Urban | 0.8586 |
| 14710 | Mason County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14720 | Massac County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14730 | Menard County, Illinois | 7880 | Urban | 0.8792 | 0.8792 | 44100 | Urban | 0.8792 |
| 14740 | Mercer County, Illinois | 14 | Rural | 0.8301 | 0.8724 | 19340 | Urban | 0.8513 |
| 14750 | Monroe County, Illinois | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 14760 | Montgomery County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14770 | Morgan County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14780 | Moultrie County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14790 | Ogle County, Illinois | 6880 | Urban | 0.9984 | 0.8271 | 99914 | Rural | 0.9128 |
| 14800 | Peoria County, Illinois | 6120 | Urban | 0.8870 | 0.8870 | 37900 | Urban | 0.8870 |
| 14810 | Perry County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14820 | Piatt County, Illinois | 14 | Rural | 0.8301 | 0.9594 | 16580 | Urban | 0.8948 |
| 14830 | Pike County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14831 | Pope County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14850 | Pulaski County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14860 | Putnam County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14870 | Randolph County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14880 | Richland County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14890 | Rock Island County, Illinois | 1960 | Urban | 0.8724 | 0.8724 | 19340 | Urban | 0.8724 |
| 14900 | St Clair County, Illinois | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 14910 | Saline County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14920 | Sangamon County, Illinois | 7880 | Urban | 0.8792 | 0.8792 | 44100 | Urban | 0.8792 |
| 14921 | Schuyler County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14940 | Scott County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14950 | Shelby County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14960 | Stark County, Illinois | 14 | Rural | 0.8301 | 0.8870 | 37900 | Urban | 0.8586 |
| 14970 | Stephenson County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14980 | Tazewell County, Illinois | 6120 | Urban | 0.8870 | 0.8870 | 37900 | Urban | 0.8870 |
| 14981 | Union County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14982 | Vermilion County, Illinois | 14 | Rural | 0.8301 | 0.9028 | 19180 | Urban | 0.8665 |
| 14983 | Wabash County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14984 | Warren County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14985 | Washington County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14986 | Wayne County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14987 | White County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14988 | Whiteside County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14989 | Will County, Illinois | 1600 | Urban | 1.0783 | 1.0790 | 16974 | Urban | 1.0787 |
| 14990 | Williamson County, Illinois | 14 | Rural | 0.8301 | 0.8271 | 99914 | Rural | 0.8286 |
| 14991 | Winnebago County, Illinois | 6880 | Urban | 0.9984 | 0.9984 | 40420 | Urban | 0.9984 |
| 14992 | Woodford County, Illinois | 6120 | Urban | 0.8870 | 0.8870 | 37900 | Urban | 0.8870 |
| 15000 | Adams County, Indiana | 2760 | Urban | 0.9706 | 0.8624 | 99915 | Rural | 0.9165 |
| 15010 | Allen County, Indiana | 2760 | Urban | 0.9706 | 0.9793 | 23060 | Urban | 0.9750 |
| 15020 | Bartholomew County, Indiana | 15 | Rural | 0.8739 | 0.9588 | 18020 | Urban | 0.9164 |
| 15030 | Benton County, Indiana | 15 | Rural | 0.8739 | 0.8736 | 29140 | Urban | 0.8738 |
| 15040 | Blackford County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15050 | Boone County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15060 | Brown County, Indiana | 15 | Rural | 0.8739 | 0.9920 | 26900 | Urban | 0.9330 |
| 15070 | Carroll County, Indiana | 15 | Rural | 0.8739 | 0.8736 | 29140 | Urban | 0.8738 |
| 15080 | Cass County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15090 | Clark County, Indiana | 4520 | Urban | 0.9293 | 0.9251 | 31140 | Urban | 0.9272 |
| 15100 | Clay County, Indiana | 8320 | Urban | 0.8337 | 0.8304 | 45460 | Urban | 0.8321 |
| 15110 | Clinton County, Indiana | 3920 | Urban | 0.8736 | 0.8624 | 99915 | Rural | 0.8680 |
| 15120 | Crawford County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15130 | Daviess County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15140 | Dearborn County, Indiana | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 15150 | Decatur County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15160 | De Kalb County, Indiana | 2760 | Urban | 0.9706 | 0.8624 | 99915 | Rural | 0.9165 |
| 15170 | Delaware County, Indiana | 5280 | Urban | 0.8930 | 0.8930 | 34620 | Urban | 0.8930 |
| 15180 | Dubois County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15190 | Elkhart County, Indiana | 2330 | Urban | 0.9627 | 0.9627 | 21140 | Urban | 0.9627 |
| 15200 | Fayette County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15210 | Floyd County, Indiana | 4520 | Urban | 0.9293 | 0.9251 | 31140 | Urban | 0.9272 |
| 15220 | Fountain County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15230 | Franklin County, Indiana | 15 | Rural | 0.8739 | 0.9615 | 17140 | Urban | 0.9177 |
| 15240 | Fulton County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15250 | Gibson County, Indiana | 15 | Rural | 0.8739 | 0.8713 | 21780 | Urban | 0.8726 |
| 15260 | Grant County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15270 | Greene County, Indiana | 15 | Rural | 0.8739 | 0.8447 | 14020 | Urban | 0.8593 |
| 15280 | Hamilton County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15290 | Hancock County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15300 | Harrison County, Indiana | 4520 | Urban | 0.9293 | 0.9251 | 31140 | Urban | 0.9272 |
| 15310 | Hendricks County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15320 | Henry County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15330 | Howard County, Indiana | 3850 | Urban | 0.9508 | 0.9508 | 29020 | Urban | 0.9508 |
| 15340 | Huntington County, Indiana | 2760 | Urban | 0.9706 | 0.8624 | 99915 | Rural | 0.9165 |
| 15350 | Jackson County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15360 | Jasper County, Indiana | 15 | Rural | 0.8739 | 0.9395 | 23844 | Urban | 0.9067 |
| 15370 | Jay County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15380 | Jefferson County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15390 | Jennings County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15400 | Johnson County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15410 | Knox County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15420 | Kosciusko County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15430 | Lagrange County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15440 | Lake County, Indiana | 2960 | Urban | 0.9395 | 0.9395 | 23844 | Urban | 0.9395 |
| 15450 | La Porte County, Indiana | 15 | Rural | 0.8739 | 0.9399 | 33140 | Urban | 0.9069 |
| 15460 | Lawrence County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15470 | Madison County, Indiana | 3480 | Urban | 0.9865 | 0.8586 | 11300 | Urban | 0.9226 |
| 15480 | Marion County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15490 | Marshall County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15500 | Martin County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15510 | Miami County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15520 | Monroe County, Indiana | 1020 | Urban | 0.8447 | 0.8447 | 14020 | Urban | 0.8447 |
| 15530 | Montgomery County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15540 | Morgan County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15550 | Newton County, Indiana | 15 | Rural | 0.8739 | 0.9395 | 23844 | Urban | 0.9067 |
| 15560 | Noble County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15570 | Ohio County, Indiana | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 15580 | Orange County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15590 | Owen County, Indiana | 15 | Rural | 0.8739 | 0.8447 | 14020 | Urban | 0.8593 |
| 15600 | Parke County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15610 | Perry County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15620 | Pike County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15630 | Porter County, Indiana | 2960 | Urban | 0.9395 | 0.9395 | 23844 | Urban | 0.9395 |
| 15640 | Posey County, Indiana | 2440 | Urban | 0.8713 | 0.8713 | 21780 | Urban | 0.8713 |
| 15650 | Pulaski County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15660 | Putnam County, Indiana | 15 | Rural | 0.8739 | 0.9920 | 26900 | Urban | 0.9330 |
| 15670 | Randolph County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15680 | Ripley County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15690 | Rush County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15700 | St Joseph County, Indiana | 7800 | Urban | 0.9788 | 0.9788 | 43780 | Urban | 0.9788 |
| 15710 | Scott County, Indiana | 4520 | Urban | 0.9293 | 0.8624 | 99915 | Rural | 0.8959 |
| 15720 | Shelby County, Indiana | 3480 | Urban | 0.9865 | 0.9920 | 26900 | Urban | 0.9893 |
| 15730 | Spencer County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15740 | Starke County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15750 | Steuben County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15760 | Sullivan County, Indiana | 15 | Rural | 0.8739 | 0.8304 | 45460 | Urban | 0.8522 |
| 15770 | Switzerland County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15780 | Tippecanoe County, Indiana | 3920 | Urban | 0.8736 | 0.8736 | 29140 | Urban | 0.8736 |
| 15790 | Tipton County, Indiana | 3850 | Urban | 0.9508 | 0.9508 | 29020 | Urban | 0.9508 |
| 15800 | Union County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15810 | Vanderburgh County, Indiana | 2440 | Urban | 0.8713 | 0.8713 | 21780 | Urban | 0.8713 |
| 15820 | Vermillion County, Indiana | 8320 | Urban | 0.8337 | 0.8304 | 45460 | Urban | 0.8321 |
| 15830 | Vigo County, Indiana | 8320 | Urban | 0.8337 | 0.8304 | 45460 | Urban | 0.8321 |
| 15840 | Wabash County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15850 | Warren County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15860 | Warrick County, Indiana | 2440 | Urban | 0.8713 | 0.8713 | 21780 | Urban | 0.8713 |
| 15870 | Washington County, Indiana | 15 | Rural | 0.8739 | 0.9251 | 31140 | Urban | 0.8995 |
| 15880 | Wayne County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15890 | Wells County, Indiana | 2760 | Urban | 0.9706 | 0.9793 | 23060 | Urban | 0.9750 |
| 15900 | White County, Indiana | 15 | Rural | 0.8739 | 0.8624 | 99915 | Rural | 0.8682 |
| 15910 | Whitley County, Indiana | 2760 | Urban | 0.9706 | 0.9793 | 23060 | Urban | 0.9750 |
| 16000 | Adair County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16010 | Adams County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16020 | Allamakee County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16030 | Appanoose County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16040 | Audubon County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16050 | Benton County, Iowa | 16 | Rural | 0.8594 | 0.8825 | 16300 | Urban | 0.8710 |
| 16060 | Black Hawk County, Iowa | 8920 | Urban | 0.8557 | 0.8557 | 47940 | Urban | 0.8557 |
| 16070 | Boone County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16080 | Bremer County, Iowa | 16 | Rural | 0.8594 | 0.8557 | 47940 | Urban | 0.8576 |
| 16090 | Buchanan County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16100 | Buena Vista County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16110 | Butler County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16120 | Calhoun County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16130 | Carroll County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16140 | Cass County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16150 | Cedar County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16160 | Cerro Gordo County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16170 | Cherokee County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16180 | Chickasaw County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16190 | Clarke County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16200 | Clay County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16210 | Clayton County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16220 | Clinton County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16230 | Crawford County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16240 | Dallas County, Iowa | 2120 | Urban | 0.9669 | 0.9669 | 19780 | Urban | 0.9669 |
| 16250 | Davis County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16260 | Decatur County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16270 | Delaware County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16280 | Des Moines County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16290 | Dickinson County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16300 | Dubuque County, Iowa | 2200 | Urban | 0.9024 | 0.9024 | 20220 | Urban | 0.9024 |
| 16310 | Emmet County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16320 | Fayette County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16330 | Floyd County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16340 | Franklin County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16350 | Fremont County, Iowa | 6 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16360 | Greene County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16370 | Grundy County, Iowa | 16 | Rural | 0.8594 | 0.8557 | 47940 | Urban | 0.8576 |
| 16380 | Guthrie County, Iowa | 16 | Rural | 0.8594 | 0.9669 | 19780 | Urban | 0.9132 |
| 16390 | Hamilton County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16400 | Hancock County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16410 | Hardin County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16420 | Harrison County, Iowa | 16 | Rural | 0.8594 | 0.9560 | 36540 | Urban | 0.9077 |
| 16430 | Henry County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16440 | Howard County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16450 | Humboldt County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16460 | Ida County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16470 | Iowa County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16480 | Jackson County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16490 | Jasper County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16500 | Jefferson County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16510 | Johnson County, Iowa | 3500 | Urban | 0.9747 | 0.9747 | 26980 | Urban | 0.9747 |
| 16520 | Jones County, Iowa | 16 | Rural | 0.8594 | 0.8825 | 16300 | Urban | 0.8710 |
| 16530 | Keokuk County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16540 | Kossuth County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16550 | Lee County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16560 | Linn County, owa | 1360 | Urban | 0.8825 | 0.8825 | 16300 | Urban | 0.8825 |
| 16570 | Louisa County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16580 | Lucas County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16590 | Lyon County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16600 | Madison County, Iowa | 16 | Rural | 0.8594 | 0.9669 | 19780 | Urban | 0.9132 |
| 16610 | Mahaska County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16620 | Marion County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16630 | Marshall County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16640 | Mills County, Iowa | 16 | Rural | 0.8594 | 0.9560 | 36540 | Urban | 0.9077 |
| 16650 | Mitchell County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16660 | Monona County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16670 | Monroe County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16680 | Montgomery County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16690 | Muscatine County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16700 | O Brien County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16710 | Osceola County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16720 | Page County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16730 | Palo Alto County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16740 | Plymouth County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16750 | Pocahontas County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16760 | Polk County, Iowa | 2120 | Urban | 0.9669 | 0.9669 | 19780 | Urban | 0.9669 |
| 16770 | Pottawattamie County, Iowa | 5920 | Urban | 0.9560 | 0.9560 | 36540 | Urban | 0.9560 |
| 16780 | Poweshiek County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16790 | Ringgold County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16800 | Sac County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16810 | Scott County, Iowa | 1960 | Urban | 0.8724 | 0.8724 | 19340 | Urban | 0.8724 |
| 16820 | Shelby County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16830 | Sioux County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16840 | Story County, Iowa | 16 | Rural | 0.8594 | 0.9536 | 11180 | Urban | 0.9065 |
| 16850 | Tama County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16860 | Taylor County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16870 | Union County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16880 | Van Buren County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16890 | Wapello County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16900 | Warren County, Iowa | 2120 | Urban | 0.9669 | 0.9669 | 19780 | Urban | 0.9669 |
| 16910 | Washington County, Iowa | 16 | Rural | 0.8594 | 0.9747 | 26980 | Urban | 0.9171 |
| 16920 | Wayne County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16930 | Webster County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16940 | Winnebago County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16950 | Winneshiek County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16960 | Woodbury County, Iowa | 7720 | Urban | 0.9416 | 0.9381 | 43580 | Urban | 0.9399 |
| 16970 | Worth County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 16980 | Wright County, Iowa | 16 | Rural | 0.8594 | 0.8509 | 99916 | Rural | 0.8552 |
| 17000 | Allen County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17010 | Anderson County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17020 | Atchison County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17030 | Barber County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17040 | Barton County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17050 | Bourbon County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17060 | Brown County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17070 | Butler County, Kansas | 9040 | Urban | 0.9175 | 0.9153 | 48620 | Urban | 0.9164 |
| 17080 | Chase County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17090 | Chautauqua County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17100 | Cherokee County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17110 | Cheyenne County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17120 | Clark County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17130 | Clay County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17140 | Cloud County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17150 | Coffey County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17160 | Comanche County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17170 | Cowley County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17180 | Crawford County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17190 | Decatur County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17200 | Dickinson County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17210 | Doniphan County, Kansas | 17 | Rural | 0.8040 | 0.9519 | 41140 | Urban | 0.8780 |
| 17220 | Douglas County, Kansas | 4150 | Urban | 0.8537 | 0.8537 | 29940 | Urban | 0.8537 |
| 17230 | Edwards County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17240 | Elk County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17250 | Ellis County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17260 | Ellsworth County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17270 | Finney County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17280 | Ford County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17290 | Franklin County, Kansas | 17 | Rural | 0.8040 | 0.9476 | 28140 | Urban | 0.8758 |
| 17300 | Geary County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17310 | Gove County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17320 | Graham County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17330 | Grant County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17340 | Gray County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17350 | Greeley County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17360 | Greenwood County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17370 | Hamilton County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17380 | Harper County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17390 | Harvey County, Kansas | 9040 | Urban | 0.9175 | 0.9153 | 48620 | Urban | 0.9164 |
| 17391 | Haskell County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17410 | Hodgeman County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17420 | Jackson County, Kansas | 17 | Rural | 0.8040 | 0.8920 | 45820 | Urban | 0.8480 |
| 17430 | Jefferson County, Kansas | 17 | Rural | 0.8040 | 0.8920 | 45820 | Urban | 0.8480 |
| 17440 | Jewell County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17450 | Johnson County, Kansas | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 17451 | Kearny County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17470 | Kingman County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17480 | Kiowa County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17490 | Labette County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17500 | Lane County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17510 | Leavenworth County, Kansas | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 17520 | Lincoln County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17530 | Linn County, Kansas | 17 | Rural | 0.8040 | 0.9476 | 28140 | Urban | 0.8758 |
| 17540 | Logan County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17550 | Lyon County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17560 | Mc Pherson County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17570 | Marion County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17580 | Marshall County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17590 | Meade County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17600 | Miami County, Kansas | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 17610 | Mitchell County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17620 | Montgomery County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17630 | Morris County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17640 | Morton County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17650 | Nemaha County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17660 | Neosho County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17670 | Ness County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17680 | Norton County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17690 | Osage County, Kansas | 17 | Rural | 0.8040 | 0.8920 | 45820 | Urban | 0.8480 |
| 17700 | Osborne County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17710 | Ottawa County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17720 | Pawnee County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17730 | Phillips County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17740 | Pottawatomie County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17750 | Pratt County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17760 | Rawlins County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17770 | Reno County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17780 | Republic County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17790 | Rice County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17800 | Riley County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17810 | Rooks County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17820 | Rush County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17830 | Russell County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17840 | Saline County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17841 | Scott County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17860 | Sedgwick County, Kansas | 9040 | Urban | 0.9175 | 0.9153 | 48620 | Urban | 0.9164 |
| 17870 | Seward County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17880 | Shawnee County, Kansas | 8440 | Urban | 0.8920 | 0.8920 | 45820 | Urban | 0.8920 |
| 17890 | Sheridan County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17900 | Sherman County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17910 | Smith County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17920 | Stafford County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17921 | Stanton County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17940 | Stevens County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17950 | Sumner County, Kansas | 17 | Rural | 0.8040 | 0.9153 | 48620 | Urban | 0.8597 |
| 17960 | Thomas County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17970 | Trego County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17980 | Wabaunsee County, Kansas | 17 | Rural | 0.8040 | 0.8920 | 45820 | Urban | 0.8480 |
| 17981 | Wallace County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17982 | Washington County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17983 | Wichita County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17984 | Wilson County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17985 | Woodson County, Kansas | 17 | Rural | 0.8040 | 0.8035 | 99917 | Rural | 0.8038 |
| 17986 | Wyandotte County, Kansas | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 18000 | Adair County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18010 | Allen County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18020 | Anderson County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18030 | Ballard County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18040 | Barren County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18050 | Bath County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18060 | Bell County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18070 | Boone County, Kentucky | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 18080 | Bourbon County, Kentucky | 4280 | Urban | 0.8988 | 0.9075 | 30460 | Urban | 0.9032 |
| 18090 | Boyd County, Kentucky | 3400 | Urban | 0.9477 | 0.9477 | 26580 | Urban | 0.9477 |
| 18100 | Boyle County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18110 | Bracken County, Kentucky | 18 | Rural | 0.7858 | 0.9615 | 17140 | Urban | 0.8737 |
| 18120 | Breathitt County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18130 | Breckinridge County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18140 | Bullitt County, Kentucky | 4520 | Urban | 0.9293 | 0.9251 | 31140 | Urban | 0.9272 |
| 18150 | Butler County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18160 | Caldwell County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18170 | Calloway County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18180 | Campbell County, Kentucky | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 18190 | Carlisle County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18191 | Carroll County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18210 | Carter County, Kentucky | 3400 | Urban | 0.9477 | 0.7766 | 99918 | Rural | 0.8622 |
| 18220 | Casey County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18230 | Christian County, Kentucky | 1660 | Urban | 0.8284 | 0.8284 | 17300 | Urban | 0.8284 |
| 18240 | Clark County, Kentucky | 4280 | Urban | 0.8988 | 0.9075 | 30460 | Urban | 0.9032 |
| 18250 | Clay County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18260 | Clinton County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18270 | Crittenden County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18271 | Cumberland County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18290 | Daviess County, Kentucky | 5990 | Urban | 0.8780 | 0.8780 | 36980 | Urban | 0.8780 |
| 18291 | Edmonson County, Kentucky | 18 | Rural | 0.7858 | 0.8211 | 14540 | Urban | 0.8035 |
| 18310 | Elliott County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18320 | Estill County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18330 | Fayette County, Kentucky | 4280 | Urban | 0.8988 | 0.9075 | 30460 | Urban | 0.9032 |
| 18340 | Fleming County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18350 | Floyd County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18360 | Franklin County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18361 | Fulton County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18362 | Gallatin County, Kentucky | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 18390 | Garrard County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18400 | Grant County, Kentucky | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 18410 | Graves County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18420 | Grayson County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18421 | Green County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18440 | Greenup County, Kentucky | 3400 | Urban | 0.9477 | 0.9477 | 26580 | Urban | 0.9477 |
| 18450 | Hancock County, Kentucky | 18 | Rural | 0.7858 | 0.8780 | 36980 | Urban | 0.8319 |
| 18460 | Hardin County, Kentucky | 18 | Rural | 0.7858 | 0.8802 | 21060 | Urban | 0.8330 |
| 18470 | Harlan County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18480 | Harrison County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18490 | Hart County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18500 | Henderson County, Kentucky | 2440 | Urban | 0.8713 | 0.8713 | 21780 | Urban | 0.8713 |
| 18510 | Henry County, Kentucky | 18 | Rural | 0.7858 | 0.9251 | 31140 | Urban | 0.8555 |
| 18511 | Hickman County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18530 | Hopkins County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18540 | Jackson County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18550 | Jefferson County, Kentucky | 4520 | Urban | 0.9293 | 0.9251 | 31140 | Urban | 0.9272 |
| 18560 | Jessamine County, Kentucky | 4280 | Urban | 0.8988 | 0.9075 | 30460 | Urban | 0.9032 |
| 18570 | Johnson County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18580 | Kenton County, Kentucky | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 18590 | Knott County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18600 | Knox County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18610 | Larue County, Kentucky | 18 | Rural | 0.7858 | 0.8802 | 21060 | Urban | 0.8330 |
| 18620 | Laurel County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18630 | Lawrence County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18640 | Lee County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18650 | Leslie County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18660 | Letcher County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18670 | Lewis County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18680 | Lincoln County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18690 | Livingston County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18700 | Logan County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18710 | Lyon County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18720 | Mc Cracken County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18730 | Mc Creary County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18740 | Mc Lean County, Kentucky | 18 | Rural | 0.7858 | 0.8780 | 36980 | Urban | 0.8319 |
| 18750 | Madison County, Kentucky | 4280 | Urban | 0.8988 | 0.7766 | 99918 | Rural | 0.8377 |
| 18760 | Magoffin County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18770 | Marion County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18780 | Marshall County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18790 | Martin County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18800 | Mason County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18801 | Meade County, Kentucky | 18 | Rural | 0.7858 | 0.9251 | 31140 | Urban | 0.8555 |
| 18802 | Menifee County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18830 | Mercer County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18831 | Metcalfe County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18850 | Monroe County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18860 | Montgomery County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18861 | Morgan County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18880 | Muhlenberg County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18890 | Nelson County, Kentucky | 18 | Rural | 0.7858 | 0.9251 | 31140 | Urban | 0.8555 |
| 18900 | Nicholas County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18910 | Ohio County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18920 | Oldham County, Kentucky | 4520 | Urban | 0.9293 | 0.9251 | 31140 | Urban | 0.9272 |
| 18930 | Owen County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18931 | Owsley County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18932 | Pendleton County, Kentucky | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 18960 | Perry County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18970 | Pike County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18971 | Powell County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18972 | Pulaski County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18973 | Robertson County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18974 | Rockcastle County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18975 | Rowan County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18976 | Russell County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18977 | Scott County, Kentucky | 4280 | Urban | 0.8988 | 0.9075 | 30460 | Urban | 0.9032 |
| 18978 | Shelby County, Kentucky | 18 | Rural | 0.7858 | 0.9251 | 31140 | Urban | 0.8555 |
| 18979 | Simpson County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18980 | Spencer County, Kentucky | 18 | Rural | 0.7858 | 0.9251 | 31140 | Urban | 0.8555 |
| 18981 | Taylor County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18982 | Todd County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18983 | Trigg County, Kentucky | 18 | Rural | 0.7858 | 0.8284 | 17300 | Urban | 0.8071 |
| 18984 | Trimble County, Kentucky | 18 | Rural | 0.7858 | 0.9251 | 31140 | Urban | 0.8555 |
| 18985 | Union County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18986 | Warren County, Kentucky | 18 | Rural | 0.7858 | 0.8211 | 14540 | Urban | 0.8035 |
| 18987 | Washington County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18988 | Wayne County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18989 | Webster County, Kentucky | 18 | Rural | 0.7858 | 0.8713 | 21780 | Urban | 0.8286 |
| 18990 | Whitley County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18991 | Wolfe County, Kentucky | 18 | Rural | 0.7858 | 0.7766 | 99918 | Rural | 0.7812 |
| 18992 | Woodford County, Kentucky | 4280 | Urban | 0.8988 | 0.9075 | 30460 | Urban | 0.9032 |
| 19000 | Acadia County, Louisiana | 3880 | Urban | 0.8251 | 0.7411 | 99919 | Rural | 0.7831 |
| 19010 | Allen County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19020 | Ascension County, Louisiana | 0760 | Urban | 0.8643 | 0.8593 | 12940 | Urban | 0.8618 |
| 19030 | Assumption County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19040 | Avoyelles County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19050 | Beauregard County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19060 | Bienville County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19070 | Bossier County, Louisiana | 7680 | Urban | 0.8737 | 0.8760 | 43340 | Urban | 0.8749 |
| 19080 | Caddo County, Louisiana | 7680 | Urban | 0.8737 | 0.8760 | 43340 | Urban | 0.8749 |
| 19090 | Calcasieu County, Louisiana | 3960 | Urban | 0.7858 | 0.7833 | 29340 | Urban | 0.7846 |
| 19100 | Caldwell County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19110 | Cameron County, Louisiana | 19 | Rural | 0.7340 | 0.7833 | 29340 | Urban | 0.7587 |
| 19120 | Catahoula County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19130 | Claiborne County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19140 | Concordia County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19150 | De Soto County, Louisiana | 19 | Rural | 0.7340 | 0.8760 | 43340 | Urban | 0.8050 |
| 19160 | East Baton Rouge County, Louisiana | 0760 | Urban | 0.8643 | 0.8593 | 12940 | Urban | 0.8618 |
| 19170 | East Carroll County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19180 | East Feliciana County, Louisiana | 19 | Rural | 0.7340 | 0.8593 | 12940 | Urban | 0.7967 |
| 19190 | Evangeline County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19200 | Franklin County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19210 | Grant County, Louisiana | 19 | Rural | 0.7340 | 0.8033 | 10780 | Urban | 0.7687 |
| 19220 | Iberia County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19230 | Iberville County, Louisiana | 19 | Rural | 0.7340 | 0.8593 | 12940 | Urban | 0.7967 |
| 19240 | Jackson County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19250 | Jefferson County, Louisiana | 5560 | Urban | 0.8995 | 0.8995 | 35380 | Urban | 0.8995 |
| 19260 | Jefferson Davis County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19270 | Lafayette County, Louisiana | 3880 | Urban | 0.8251 | 0.8428 | 29180 | Urban | 0.8340 |
| 19280 | Lafourche County, Louisiana | 3350 | Urban | 0.7894 | 0.7894 | 26380 | Urban | 0.7894 |
| 19290 | La Salle County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19300 | Lincoln County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19310 | Livingston County, Louisiana | 0760 | Urban | 0.8643 | 0.8593 | 12940 | Urban | 0.8618 |
| 19320 | Madison County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19330 | Morehouse County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19340 | Natchitoches County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19350 | Orleans County, Louisiana | 5560 | Urban | 0.8995 | 0.8995 | 35380 | Urban | 0.8995 |
| 19360 | Ouachita County, Louisiana | 5200 | Urban | 0.8044 | 0.8031 | 33740 | Urban | 0.8038 |
| 19370 | Plaquemines County, Louisiana | 5560 | Urban | 0.8995 | 0.8995 | 35380 | Urban | 0.8995 |
| 19380 | Pointe Coupee County, Louisiana | 19 | Rural | 0.7340 | 0.8593 | 12940 | Urban | 0.7967 |
| 19390 | Rapides County, Louisiana | 0220 | Urban | 0.8033 | 0.8033 | 10780 | Urban | 0.8033 |
| 19400 | Red River County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19410 | Richland County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19420 | Sabine County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19430 | St Bernard County, Louisiana | 5560 | Urban | 0.8995 | 0.8995 | 35380 | Urban | 0.8995 |
| 19440 | St Charles County, Louisiana | 5560 | Urban | 0.8995 | 0.8995 | 35380 | Urban | 0.8995 |
| 19450 | St Helena County, Louisiana | 19 | Rural | 0.7340 | 0.8593 | 12940 | Urban | 0.7967 |
| 19460 | St James County, Louisiana | 5560 | Urban | 0.8995 | 0.7411 | 99919 | Rural | 0.8203 |
| 19470 | St John Baptist County, Louisiana | 5560 | Urban | 0.8995 | 0.8995 | 35380 | Urban | 0.8995 |
| 19480 | St Landry County, Louisiana | 3880 | Urban | 0.8251 | 0.7411 | 99919 | Rural | 0.7831 |
| 19490 | St Martin County, Louisiana | 3880 | Urban | 0.8251 | 0.8428 | 29180 | Urban | 0.8340 |
| 19500 | St Mary County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19510 | St Tammany County, Louisiana | 5560 | Urban | 0.8995 | 0.8995 | 35380 | Urban | 0.8995 |
| 19520 | Tangipahoa County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19530 | Tensas County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19540 | Terrebonne County, Louisiana | 3350 | Urban | 0.7894 | 0.7894 | 26380 | Urban | 0.7894 |
| 19550 | Union County, Louisiana | 19 | Rural | 0.7340 | 0.8031 | 33740 | Urban | 0.7686 |
| 19560 | Vermilion County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19570 | Vernon County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19580 | Washington County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19590 | Webster County, Louisiana | 7680 | Urban | 0.8737 | 0.7411 | 99919 | Rural | 0.8074 |
| 19600 | West Baton Rouge County, Louisiana | 0760 | Urban | 0.8643 | 0.8593 | 12940 | Urban | 0.8618 |
| 19610 | West Carroll County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 19620 | West Feliciana County, Louisiana | 19 | Rural | 0.7340 | 0.8593 | 12940 | Urban | 0.7967 |
| 19630 | Winn County, Louisiana | 19 | Rural | 0.7340 | 0.7411 | 99919 | Rural | 0.7376 |
| 20000 | Androscoggin County, Maine | 4243 | Urban | 0.9331 | 0.9331 | 30340 | Urban | 0.9331 |
| 20010 | Aroostook County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20020 | Cumberland County, Maine | 6403 | Urban | 1.0382 | 1.0382 | 38860 | Urban | 1.0382 |
| 20030 | Franklin County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20040 | Hancock County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20050 | Kennebec County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20060 | Knox County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20070 | Lincoln County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20080 | Oxford County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20090 | Penobscot County, Maine | 0733 | Urban | 0.9993 | 0.9993 | 12620 | Urban | 0.9993 |
| 20100 | Piscataquis County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20110 | Sagadahoc County, Maine | 6403 | Urban | 1.0382 | 1.0382 | 38860 | Urban | 1.0382 |
| 20120 | Somerset County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20130 | Waldo County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20140 | Washington County, Maine | 20 | Rural | 0.8843 | 0.8843 | 99920 | Rural | 0.8843 |
| 20150 | York County, Maine | 6403 | Urban | 1.0382 | 1.0382 | 38860 | Urban | 1.0382 |
| 21000 | Allegany County, Maryland | 1900 | Urban | 0.9317 | 0.9317 | 19060 | Urban | 0.9317 |
| 21010 | Anne Arundel County, Maryland | 0720 | Urban | 0.9897 | 0.9897 | 12580 | Urban | 0.9897 |
| 21020 | Baltimore County, Maryland | 0720 | Urban | 0.9897 | 0.9897 | 12580 | Urban | 0.9897 |
| 21030 | Baltimore City County, Maryland | 0720 | Urban | 0.9897 | 0.9897 | 12580 | Urban | 0.9897 |
| 21040 | Calvert County, Maryland | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 21050 | Caroline County, Maryland | 21 | Rural | 0.9230 | 0.9353 | 99921 | Rural | 0.9292 |
| 21060 | Carroll County, Maryland | 0720 | Urban | 0.9897 | 0.9897 | 12580 | Urban | 0.9897 |
| 21070 | Cecil County, Maryland | 9160 | Urban | 1.0527 | 1.0471 | 48864 | Urban | 1.0499 |
| 21080 | Charles County, Maryland | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 21090 | Dorchester County, Maryland | 21 | Rural | 0.9230 | 0.9353 | 99921 | Rural | 0.9292 |
| 21100 | Frederick County, Maryland | 8840 | Urban | 1.0976 | 1.1483 | 13644 | Urban | 1.1230 |
| 21110 | Garrett County, Maryland | 21 | Rural | 0.9230 | 0.9353 | 99921 | Rural | 0.9292 |
| 21120 | Harford County, Maryland | 0720 | Urban | 0.9897 | 0.9897 | 12580 | Urban | 0.9897 |
| 21130 | Howard County, Maryland | 0720 | Urban | 0.9897 | 0.9897 | 12580 | Urban | 0.9897 |
| 21140 | Kent County, Maryland | 21 | Rural | 0.9230 | 0.9353 | 99921 | Rural | 0.9292 |
| 21150 | Montgomery County, Maryland | 8840 | Urban | 1.0976 | 1.1483 | 13644 | Urban | 1.1230 |
| 21160 | Prince Georges County, Maryland | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 21170 | Queen Annes County, Maryland | 0720 | Urban | 0.9897 | 0.9897 | 12580 | Urban | 0.9897 |
| 21180 | St Marys County, Maryland | 21 | Rural | 0.9230 | 0.9353 | 99921 | Rural | 0.9292 |
| 21190 | Somerset County, Maryland | 21 | Rural | 0.9230 | 0.9064 | 41540 | Urban | 0.9147 |
| 21200 | Talbot County, Maryland | 21 | Rural | 0.9230 | 0.9353 | 99921 | Rural | 0.9292 |
| 21210 | Washington County, Maryland | 3180 | Urban | 0.9869 | 0.9489 | 25180 | Urban | 0.9679 |
| 21220 | Wicomico County, Maryland | 21 | Rural | 0.9230 | 0.9064 | 41540 | Urban | 0.9147 |
| 21230 | Worcester County, Maryland | 21 | Rural | 0.9230 | 0.9353 | 99921 | Rural | 0.9292 |
| 22000 | Barnstable County, Massachusetts | 0743 | Urban | 1.2600 | 1.2600 | 12700 | Urban | 1.2600 |
| 22010 | Berkshire County, Massachusetts | 6323 | Urban | 1.0181 | 1.0181 | 38340 | Urban | 1.0181 |
| 22020 | Bristol County, Massachusetts | 1123 | Urban | 1.1178 | 1.0966 | 39300 | Urban | 1.1072 |
| 22030 | Dukes County, Massachusetts | 22 | Rural | 1.0216 | 1.0216 | 99922 | Rural | 1.0216 |
| 22040 | Essex County, Massachusetts | 1123 | Urban | 1.1178 | 1.0538 | 21604 | Urban | 1.0858 |
| 22060 | Franklin County, Massachusetts | 22 | Rural | 1.0216 | 1.0248 | 44140 | Urban | 1.0232 |
| 22070 | Hampden County, Massachusetts | 8003 | Urban | 1.0263 | 1.0248 | 44140 | Urban | 1.0256 |
| 22080 | Hampshire County, Massachusetts | 8003 | Urban | 1.0263 | 1.0248 | 44140 | Urban | 1.0256 |
| 22090 | Middlesex County, Massachusetts | 1123 | Urban | 1.1178 | 1.1172 | 15764 | Urban | 1.1175 |
| 22120 | Nantucket County, Massachusetts | 22 | Rural | 1.0216 | 1.0216 | 99922 | Rural | 1.0216 |
| 22130 | Norfolk County, Massachusetts | 1123 | Urban | 1.1178 | 1.1558 | 14484 | Urban | 1.1368 |
| 22150 | Plymouth County, Massachusetts | 1123 | Urban | 1.1178 | 1.1558 | 14484 | Urban | 1.1368 |
| 22160 | Suffolk County, Massachusetts | 1123 | Urban | 1.1178 | 1.1558 | 14484 | Urban | 1.1368 |
| 22170 | Worcester County, Massachusetts | 1123 | Urban | 1.1178 | 1.1028 | 49340 | Urban | 1.1103 |
| 23000 | Alcona County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23010 | Alger County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23020 | Allegan County, Michigan | 3000 | Urban | 0.9445 | 0.8895 | 99923 | Rural | 0.9170 |
| 23030 | Alpena County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23040 | Antrim County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23050 | Arenac County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23060 | Baraga County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23070 | Barry County, Michigan | 23 | Rural | 0.8824 | 0.9390 | 24340 | Urban | 0.9107 |
| 23080 | Bay County, Michigan | 6960 | Urban | 0.9241 | 0.9343 | 13020 | Urban | 0.9292 |
| 23090 | Benzie County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23100 | Berrien County, Michigan | 0870 | Urban | 0.8879 | 0.8879 | 35660 | Urban | 0.8879 |
| 23110 | Branch County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23120 | Calhoun County, Michigan | 3720 | Urban | 1.0143 | 0.9508 | 12980 | Urban | 0.9826 |
| 23130 | Cass County, Michigan | 23 | Rural | 0.8824 | 0.9788 | 43780 | Urban | 0.9306 |
| 23140 | Charlevoix County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23150 | Cheboygan County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23160 | Chippewa County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23170 | Clare County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23180 | Clinton County, Michigan | 4040 | Urban | 0.9794 | 0.9794 | 29620 | Urban | 0.9794 |
| 23190 | Crawford County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23200 | Delta County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23210 | Dickinson County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23220 | Eaton County, Michigan | 4040 | Urban | 0.9794 | 0.9794 | 29620 | Urban | 0.9794 |
| 23230 | Emmet County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23240 | Genesee County, Michigan | 2640 | Urban | 1.0655 | 1.0655 | 22420 | Urban | 1.0655 |
| 23250 | Gladwin County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23260 | Gogebic County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23270 | Grand Traverse County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23280 | Gratiot County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23290 | Hillsdale County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23300 | Houghton County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23310 | Huron County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23320 | Ingham County, Michigan | 4040 | Urban | 0.9794 | 0.9794 | 29620 | Urban | 0.9794 |
| 23330 | Ionia County, Michigan | 23 | Rural | 0.8824 | 0.9390 | 24340 | Urban | 0.9107 |
| 23340 | Iosco County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23350 | Iron County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23360 | Isabella County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23370 | Jackson County, Michigan | 3520 | Urban | 0.9304 | 0.9304 | 27100 | Urban | 0.9304 |
| 23380 | Kalamazoo County, Michigan | 3720 | Urban | 1.0143 | 1.0381 | 28020 | Urban | 1.0262 |
| 23390 | Kalkaska County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23400 | Kent County, Michigan | 3000 | Urban | 0.9445 | 0.9390 | 24340 | Urban | 0.9418 |
| 23410 | Keweenaw County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23420 | Lake County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23430 | Lapeer County, Michigan | 2160 | Urban | 1.0147 | 0.9871 | 47644 | Urban | 1.0009 |
| 23440 | Leelanau County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23450 | Lenawee County, Michigan | 0440 | Urban | 1.0707 | 0.8895 | 99923 | Rural | 0.9801 |
| 23460 | Livingston County, Michigan | 0440 | Urban | 1.0707 | 0.9871 | 47644 | Urban | 1.0289 |
| 23470 | Luce County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23480 | Mackinac County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23490 | Macomb County, Michigan | 2160 | Urban | 1.0147 | 0.9871 | 47644 | Urban | 1.0009 |
| 23500 | Manistee County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23510 | Marquette County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23520 | Mason County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23530 | Mecosta County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23540 | Menominee County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23550 | Midland County, Michigan | 6960 | Urban | 0.9241 | 0.8895 | 99923 | Rural | 0.9068 |
| 23560 | Missaukee County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23570 | Monroe County, Michigan | 2160 | Urban | 1.0147 | 0.9468 | 33780 | Urban | 0.9808 |
| 23580 | Montcalm County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23590 | Montmorency County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23600 | Muskegon County, Michigan | 3000 | Urban | 0.9445 | 0.9664 | 34740 | Urban | 0.9555 |
| 23610 | Newaygo County, Michigan | 23 | Rural | 0.8824 | 0.9390 | 24340 | Urban | 0.9107 |
| 23620 | Oakland County, Michigan | 2160 | Urban | 1.0147 | 0.9871 | 47644 | Urban | 1.0009 |
| 23630 | Oceana County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23640 | Ogemaw County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23650 | Ontonagon County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23660 | Osceola County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23670 | Oscoda County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23680 | Otsego County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23690 | Ottawa County, Michigan | 3000 | Urban | 0.9445 | 0.9055 | 26100 | Urban | 0.9250 |
| 23700 | Presque Isle County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23710 | Roscommon County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23720 | Saginaw County, Michigan | 6960 | Urban | 0.9241 | 0.9088 | 40980 | Urban | 0.9165 |
| 23730 | St Clair County, Michigan | 2160 | Urban | 1.0147 | 0.9871 | 47644 | Urban | 1.0009 |
| 23740 | St Joseph County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23750 | Sanilac County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23760 | Schoolcraft County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23770 | Shiawassee County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23780 | Tuscola County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 23790 | Van Buren County, Michigan | 3720 | Urban | 1.0143 | 1.0381 | 28020 | Urban | 1.0262 |
| 23800 | Washtenaw County, Michigan | 0440 | Urban | 1.0707 | 1.0859 | 11460 | Urban | 1.0783 |
| 23810 | Wayne County, Michigan | 2160 | Urban | 1.0147 | 1.0424 | 19804 | Urban | 1.0286 |
| 23830 | Wexford County, Michigan | 23 | Rural | 0.8824 | 0.8895 | 99923 | Rural | 0.8860 |
| 24000 | Aitkin County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24010 | Anoka County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24020 | Becker County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24030 | Beltrami County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24040 | Benton County, Minnesota | 6980 | Urban | 0.9965 | 0.9965 | 41060 | Urban | 0.9965 |
| 24050 | Big Stone County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24060 | Blue Earth County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24070 | Brown County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24080 | Carlton County, Minnesota | 24 | Rural | 0.9132 | 1.0213 | 20260 | Urban | 0.9673 |
| 24090 | Carver County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24100 | Cass County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24110 | Chippewa County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24120 | Chisago County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24130 | Clay County, Minnesota | 2520 | Urban | 0.8486 | 0.8486 | 22020 | Urban | 0.8486 |
| 24140 | Clearwater County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24150 | Cook County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24160 | Cottonwood County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24170 | Crow Wing County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24180 | Dakota County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24190 | Dodge County, Minnesota | 24 | Rural | 0.9132 | 1.1131 | 40340 | Urban | 1.0132 |
| 24200 | Douglas County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24210 | Faribault County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24220 | Fillmore County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24230 | Freeborn County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24240 | Goodhue County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24250 | Grant County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24260 | Hennepin County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24270 | Houston County, Minnesota | 3870 | Urban | 0.9564 | 0.9564 | 29100 | Urban | 0.9564 |
| 24280 | Hubbard County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24290 | Isanti County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24300 | Itasca County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24310 | Jackson County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24320 | Kanabec County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24330 | Kandiyohi County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24340 | Kittson County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24350 | Koochiching County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24360 | Lac Qui Parle County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24370 | Lake County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24380 | Lake Of Woods County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24390 | Le Sueur County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24400 | Lincoln County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24410 | Lyon County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24420 | Mc Leod County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24430 | Mahnomen County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24440 | Marshall County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24450 | Martin County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24460 | Meeker County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24470 | Mille Lacs County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24480 | Morrison County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24490 | Mower County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24500 | Murray County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24510 | Nicollet County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24520 | Nobles County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24530 | Norman County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24540 | Olmsted County, Minnesota | 6820 | Urban | 1.1131 | 1.1131 | 40340 | Urban | 1.1131 |
| 24550 | Otter Tail County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24560 | Pennington County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24570 | Pine County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24580 | Pipestone County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24590 | Polk County, Minnesota | 2985 | Urban | 0.7901 | 0.7901 | 24220 | Urban | 0.7901 |
| 24600 | Pope County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24610 | Ramsey County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24620 | Red Lake County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24630 | Redwood County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24640 | Renville County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24650 | Rice County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24660 | Rock County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24670 | Roseau County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24680 | St Louis County, Minnesota | 2240 | Urban | 1.0213 | 1.0213 | 20260 | Urban | 1.0213 |
| 24690 | Scott County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24700 | Sherburne County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24710 | Sibley County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24720 | Stearns County, Minnesota | 6980 | Urban | 0.9965 | 0.9965 | 41060 | Urban | 0.9965 |
| 24730 | Steele County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24740 | Stevens County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24750 | Swift County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24760 | Todd County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24770 | Traverse County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24780 | Wabasha County, Minnesota | 24 | Rural | 0.9132 | 1.1131 | 40340 | Urban | 1.0132 |
| 24790 | Wadena County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24800 | Waseca County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24810 | Washington County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24820 | Watonwan County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24830 | Wilkin County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24840 | Winona County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 24850 | Wright County, Minnesota | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 24860 | Yellow Medicine County, Minnesota | 24 | Rural | 0.9132 | 0.9132 | 99924 | Rural | 0.9132 |
| 25000 | Adams County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25010 | Alcorn County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25020 | Amite County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25030 | Attala County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25040 | Benton County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25050 | Bolivar County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25060 | Calhoun County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25070 | Carroll County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25080 | Chickasaw County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25090 | Choctaw County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25100 | Claiborne County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25110 | Clarke County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25120 | Clay County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25130 | Coahoma County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25140 | Copiah County, Mississippi | 25 | Rural | 0.7634 | 0.8311 | 27140 | Urban | 0.7973 |
| 25150 | Covington County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25160 | Desoto County, Mississippi | 4920 | Urban | 0.9416 | 0.9397 | 32820 | Urban | 0.9407 |
| 25170 | Forrest County, Mississippi | 3285 | Urban | 0.7601 | 0.7601 | 25620 | Urban | 0.7601 |
| 25180 | Franklin County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25190 | George County, Mississippi | 25 | Rural | 0.7634 | 0.8156 | 37700 | Urban | 0.7895 |
| 25200 | Greene County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25210 | Grenada County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25220 | Hancock County, Mississippi | 0920 | Urban | 0.8706 | 0.8929 | 25060 | Urban | 0.8818 |
| 25230 | Harrison County, Mississippi | 0920 | Urban | 0.8706 | 0.8929 | 25060 | Urban | 0.8818 |
| 25240 | Hinds County, Mississippi | 3560 | Urban | 0.8382 | 0.8311 | 27140 | Urban | 0.8347 |
| 25250 | Holmes County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25260 | Humphreys County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25270 | Issaquena County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25280 | Itawamba County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25290 | Jackson County, Mississippi | 0920 | Urban | 0.8706 | 0.8156 | 37700 | Urban | 0.8431 |
| 25300 | Jasper County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25310 | Jefferson County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25320 | Jefferson Davis County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25330 | Jones County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25340 | Kemper County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25350 | Lafayette County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25360 | Lamar County, Mississippi | 3285 | Urban | 0.7601 | 0.7601 | 25620 | Urban | 0.7601 |
| 25370 | Lauderdale County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25380 | Lawrence County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25390 | Leake County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25400 | Lee County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25410 | Leflore County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25420 | Lincoln County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25430 | Lowndes County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25440 | Madison County, Mississippi | 3560 | Urban | 0.8382 | 0.8311 | 27140 | Urban | 0.8347 |
| 25450 | Marion County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25460 | Marshall County, Mississippi | 25 | Rural | 0.7634 | 0.9397 | 32820 | Urban | 0.8516 |
| 25470 | Monroe County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25480 | Montgomery County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25490 | Neshoba County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25500 | Newton County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25510 | Noxubee County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25520 | Oktibbeha County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25530 | Panola County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25540 | Pearl River County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25550 | Perry County, Mississippi | 25 | Rural | 0.7634 | 0.7601 | 25620 | Urban | 0.7618 |
| 25560 | Pike County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25570 | Pontotoc County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25580 | Prentiss County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25590 | Quitman County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25600 | Rankin County, Mississippi | 3560 | Urban | 0.8382 | 0.8311 | 27140 | Urban | 0.8347 |
| 25610 | Scott County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25620 | Sharkey County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25630 | Simpson County, Mississippi | 25 | Rural | 0.7634 | 0.8311 | 27140 | Urban | 0.7973 |
| 25640 | Smith County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25650 | Stone County, Mississippi | 25 | Rural | 0.7634 | 0.8929 | 25060 | Urban | 0.8282 |
| 25660 | Sunflower County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25670 | Tallahatchie County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25680 | Tate County, Mississippi | 25 | Rural | 0.7634 | 0.9397 | 32820 | Urban | 0.8516 |
| 25690 | Tippah County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25700 | Tishomingo County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25710 | Tunica County, Mississippi | 25 | Rural | 0.7634 | 0.9397 | 32820 | Urban | 0.8516 |
| 25720 | Union County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25730 | Walthall County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25740 | Warren County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25750 | Washington County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25760 | Wayne County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25770 | Webster County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25780 | Wilkinson County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25790 | Winston County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25800 | Yalobusha County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 25810 | Yazoo County, Mississippi | 25 | Rural | 0.7634 | 0.7674 | 99925 | Rural | 0.7654 |
| 26000 | Adair County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26010 | Andrew County, Missouri | 7000 | Urban | 0.9519 | 0.9519 | 41140 | Urban | 0.9519 |
| 26020 | Atchison County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26030 | Audrain County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26040 | Barry County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26050 | Barton County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26060 | Bates County, Missouri | 26 | Rural | 0.7959 | 0.9476 | 28140 | Urban | 0.8718 |
| 26070 | Benton County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26080 | Bollinger County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26090 | Boone County, Missouri | 1740 | Urban | 0.8345 | 0.8345 | 17860 | Urban | 0.8345 |
| 26100 | Buchanan County, Missouri | 7000 | Urban | 0.9519 | 0.9519 | 41140 | Urban | 0.9519 |
| 26110 | Butler County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26120 | Caldwell County, Missouri | 26 | Rural | 0.7959 | 0.9476 | 28140 | Urban | 0.8718 |
| 26130 | Callaway County, Missouri | 26 | Rural | 0.7959 | 0.8387 | 27620 | Urban | 0.8173 |
| 26140 | Camden County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26150 | Cape Girardeau County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26160 | Carroll County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26170 | Carter County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26180 | Cass County, Missouri | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 26190 | Cedar County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26200 | Chariton County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26210 | Christian County, Missouri | 7920 | Urban | 0.8250 | 0.8237 | 44180 | Urban | 0.8244 |
| 26220 | Clark County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26230 | Clay County, Missouri | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 26240 | Clinton County, Missouri | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 26250 | Cole County, Missouri | 26 | Rural | 0.7959 | 0.8387 | 27620 | Urban | 0.8173 |
| 26260 | Cooper County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26270 | Crawford County, Missouri | 26 | Rural | 0.7959 | 0.8954 | 41180 | Urban | 0.8457 |
| 26280 | Dade County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26290 | Dallas County, Missouri | 26 | Rural | 0.7959 | 0.8237 | 44180 | Urban | 0.8098 |
| 26300 | Daviess County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26310 | De Kalb County, Missouri | 26 | Rural | 0.7959 | 0.9519 | 41140 | Urban | 0.8739 |
| 26320 | Dent County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26330 | Douglas County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26340 | Dunklin County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26350 | Franklin County, Missouri | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 26360 | Gasconade County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26370 | Gentry County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26380 | Greene County, Missouri | 7920 | Urban | 0.8250 | 0.8237 | 44180 | Urban | 0.8244 |
| 26390 | Grundy County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26400 | Harrison County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26410 | Henry County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26411 | Hickory County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26412 | Holt County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26440 | Howard County, Missouri | 26 | Rural | 0.7959 | 0.8345 | 17860 | Urban | 0.8152 |
| 26450 | Howell County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26460 | Iron County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26470 | Jackson County, Missouri | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 26480 | Jasper County, Missouri | 3710 | Urban | 0.8582 | 0.8582 | 27900 | Urban | 0.8582 |
| 26490 | Jefferson County, Missouri | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 26500 | Johnson County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26510 | Knox County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26520 | Laclede County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26530 | Lafayette County, Missouri | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 26540 | Lawrence County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26541 | Lewis County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26560 | Lincoln County, Missouri | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 26570 | Linn County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26580 | Livingston County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26590 | Mc Donald County, Missouri | 26 | Rural | 0.7959 | 0.8661 | 22220 | Urban | 0.8310 |
| 26600 | Macon County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26601 | Madison County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26620 | Maries County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26630 | Marion County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26631 | Mercer County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26650 | Miller County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26660 | Mississippi County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26670 | Moniteau County, Missouri | 26 | Rural | 0.7959 | 0.8387 | 27620 | Urban | 0.8173 |
| 26680 | Monroe County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26690 | Montgomery County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26700 | Morgan County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26710 | New Madrid County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26720 | Newton County, Missouri | 3710 | Urban | 0.8582 | 0.8582 | 27900 | Urban | 0.8582 |
| 26730 | Nodaway County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26740 | Oregon County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26750 | Osage County, Missouri | 26 | Rural | 0.7959 | 0.8387 | 27620 | Urban | 0.8173 |
| 26751 | Ozark County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26770 | Pemiscot County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26780 | Perry County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26790 | Pettis County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26800 | Phelps County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26810 | Pike County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26820 | Platte County, Missouri | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 26821 | Polk County, Missouri | 26 | Rural | 0.7959 | 0.8237 | 44180 | Urban | 0.8098 |
| 26840 | Pulaski County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26850 | Putnam County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26860 | Ralls County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26870 | Randolph County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26880 | Ray County, Missouri | 3760 | Urban | 0.9490 | 0.9476 | 28140 | Urban | 0.9483 |
| 26881 | Reynolds County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26900 | Ripley County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26910 | St Charles County, Missouri | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 26911 | St Clair County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26930 | St Francois County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26940 | St Louis County, Missouri | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 26950 | St Louis City County, Missouri | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 26960 | Ste Genevieve County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26970 | Saline County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26980 | Schuyler County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26981 | Scotland County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26982 | Scott County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26983 | Shannon County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26984 | Shelby County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26985 | Stoddard County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26986 | Stone County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26987 | Sullivan County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26988 | Taney County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26989 | Texas County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26990 | Vernon County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26991 | Warren County, Missouri | 7040 | Urban | 0.8962 | 0.8954 | 41180 | Urban | 0.8958 |
| 26992 | Washington County, Missouri | 26 | Rural | 0.7959 | 0.8954 | 41180 | Urban | 0.8457 |
| 26993 | Wayne County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26994 | Webster County, Missouri | 7920 | Urban | 0.8250 | 0.8237 | 44180 | Urban | 0.8244 |
| 26995 | Worth County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 26996 | Wright County, Missouri | 26 | Rural | 0.7959 | 0.7900 | 99926 | Rural | 0.7930 |
| 27000 | Beaverhead County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27010 | Big Horn County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27020 | Blaine County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27030 | Broadwater County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27040 | Carbon County, Montana | 27 | Rural | 0.8762 | 0.8834 | 13740 | Urban | 0.8798 |
| 27050 | Carter County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27060 | Cascade County, Montana | 3040 | Urban | 0.9052 | 0.9052 | 24500 | Urban | 0.9052 |
| 27070 | Chouteau County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27080 | Custer County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27090 | Daniels County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27100 | Dawson County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27110 | Deer Lodge County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27113 | Yellowstone National Park, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27120 | Fallon County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| D27130 | Fergus County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27140 | Flathead County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27150 | Gallatin County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27160 | Garfield County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27170 | Glacier County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27180 | Golden Valley County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27190 | Granite County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27200 | Hill County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27210 | Jefferson County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27220 | Judith Basin County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27230 | Lake County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27240 | Lewis And Clark County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27250 | Liberty County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27260 | Lincoln County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27270 | Mc Cone County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27280 | Madison County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27290 | Meagher County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27300 | Mineral County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27310 | Missoula County, Montana | 5140 | Urban | 0.9473 | 0.9473 | 33540 | Urban | 0.9473 |
| 27320 | Musselshell County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27330 | Park County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27340 | Petroleum County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27350 | Phillips County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27360 | Pondera County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27370 | Powder River County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27380 | Powell County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27390 | Prairie County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27400 | Ravalli County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27410 | Richland County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27420 | Roosevelt County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27430 | Rosebud County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27440 | Sanders County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27450 | Sheridan County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27460 | Silver Bow County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27470 | Stillwater County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27480 | Sweet Grass County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27490 | Teton County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27500 | Toole County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27510 | Treasure County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27520 | Valley County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27530 | Wheatland County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27540 | Wibaux County, Montana | 27 | Rural | 0.8762 | 0.8762 | 99927 | Rural | 0.8762 |
| 27550 | Yellowstone County, Montana | 0880 | Urban | 0.8834 | 0.8834 | 13740 | Urban | 0.8834 |
| 28000 | Adams County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28010 | Antelope County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28020 | Arthur County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28030 | Banner County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28040 | Blaine County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28050 | Boone County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28060 | Box Butte County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28070 | Boyd County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28080 | Brown County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28090 | Buffalo County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28100 | Burt County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28110 | Butler County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28120 | Cass County, Nebraska | 5920 | Urban | 0.9560 | 0.9560 | 36540 | Urban | 0.9560 |
| 28130 | Cedar County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28140 | Chase County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28150 | Cherry County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28160 | Cheyenne County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28170 | Clay County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28180 | Colfax County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28190 | Cuming County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28200 | Custer County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28210 | Dakota County, Nebraska | 7720 | Urban | 0.9416 | 0.9381 | 43580 | Urban | 0.9399 |
| 28220 | Dawes County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28230 | Dawson County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28240 | Deuel County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28250 | Dixon County, Nebraska | 28 | Rural | 0.8657 | 0.9381 | 43580 | Urban | 0.9019 |
| 28260 | Dodge County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28270 | Douglas County, Nebraska | 5920 | Urban | 0.9560 | 0.9560 | 36540 | Urban | 0.9560 |
| 28280 | Dundy County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28290 | Fillmore County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28300 | Franklin County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28310 | Frontier County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28320 | Furnas County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28330 | Gage County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28340 | Garden County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28350 | Garfield County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28360 | Gosper County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28370 | Grant County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28380 | Greeley County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28390 | Hall County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28400 | Hamilton County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28410 | Harlan County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28420 | Hayes County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28430 | Hitchcock County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28440 | Holt County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28450 | Hooker County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28460 | Howard County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28470 | Jefferson County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28480 | Johnson County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28490 | Kearney County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28500 | Keith County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28510 | Keya Paha County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28520 | Kimball County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28530 | Knox County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28540 | Lancaster County, Nebraska | 4360 | Urban | 1.0214 | 1.0214 | 30700 | Urban | 1.0214 |
| 28550 | Lincoln County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28560 | Logan County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28570 | Loup County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28580 | Mc Pherson County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28590 | Madison County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28600 | Merrick County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28610 | Morrill County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28620 | Nance County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28630 | Nemaha County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28640 | Nuckolls County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28650 | Otoe County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28660 | Pawnee County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28670 | Perkins County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28680 | Phelps County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28690 | Pierce County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28700 | Platte County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28710 | Polk County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28720 | Redwillow County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28730 | Richardson County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28740 | Rock County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28750 | Saline County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28760 | Sarpy County, Nebraska | 5920 | Urban | 0.9560 | 0.9560 | 36540 | Urban | 0.9560 |
| 28770 | Saunders County, Nebraska | 28 | Rural | 0.8657 | 0.9560 | 36540 | Urban | 0.9109 |
| 28780 | Scotts Bluff County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28790 | Seward County, Nebraska | 28 | Rural | 0.8657 | 1.0214 | 30700 | Urban | 0.9436 |
| 28800 | Sheridan County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28810 | Sherman County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28820 | Sioux County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28830 | Stanton County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28840 | Thayer County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28850 | Thomas County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28860 | Thurston County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28870 | Valley County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28880 | Washington County, Nebraska | 5920 | Urban | 0.9560 | 0.9560 | 36540 | Urban | 0.9560 |
| 28890 | Wayne County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28900 | Webster County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28910 | Wheeler County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 28920 | York County, Nebraska | 28 | Rural | 0.8657 | 0.8657 | 99928 | Rural | 0.8657 |
| 29000 | Churchill County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29010 | Clark County, Nevada | 4120 | Urban | 1.1155 | 1.1437 | 29820 | Urban | 1.1296 |
| 29020 | Douglas County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29030 | Elko County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29040 | Esmeralda County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29050 | Eureka County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29060 | Humboldt County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29070 | Lander County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29080 | Lincoln County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29090 | Lyon County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29100 | Mineral County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29110 | Nye County, Nevada | 4120 | Urban | 1.1155 | 0.9065 | 99929 | Rural | 1.0110 |
| 29120 | Carson City County, Nevada | 29 | Rural | 0.9687 | 1.0234 | 16180 | Urban | 0.9961 |
| 29130 | Pershing County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 29140 | Storey County, Nevada | 29 | Rural | 0.9687 | 1.0982 | 39900 | Urban | 1.0335 |
| 29150 | Washoe County, Nevada | 6720 | Urban | 1.0982 | 1.0982 | 39900 | Urban | 1.0982 |
| 29160 | White Pine County, Nevada | 29 | Rural | 0.9687 | 0.9065 | 99929 | Rural | 0.9376 |
| 30000 | Belknap County, New Hampshire | 30 | Rural | 1.0817 | 1.0817 | 99930 | Rural | 1.0817 |
| 30010 | Carroll County, New Hampshire | 30 | Rural | 1.0817 | 1.0817 | 99930 | Rural | 1.0817 |
| 30020 | Cheshire County, New Hampshire | 30 | Rural | 1.0817 | 1.0817 | 99930 | Rural | 1.0817 |
| 30030 | Coos County, New Hampshire | 30 | Rural | 1.0817 | 1.0817 | 99930 | Rural | 1.0817 |
| 30040 | Grafton County, New Hampshire | 30 | Rural | 1.0817 | 1.0817 | 99930 | Rural | 1.0817 |
| 30050 | Hillsboro County, New Hampshire | 1123 | Urban | 1.1178 | 1.0354 | 31700 | Urban | 1.0766 |
| 30060 | Merrimack County, New Hampshire | 1123 | Urban | 1.1178 | 1.0354 | 31700 | Urban | 1.0766 |
| 30070 | Rockingham County, New Hampshire | 1123 | Urban | 1.1178 | 1.0374 | 40484 | Urban | 1.0776 |
| 30080 | Strafford County, New Hampshire | 1123 | Urban | 1.1178 | 1.0374 | 40484 | Urban | 1.0776 |
| 30090 | Sullivan County, New Hampshire | 30 | Rural | 1.0817 | 1.0817 | 99930 | Rural | 1.0817 |
| 31000 | Atlantic County, New Jersey | 0560 | Urban | 1.1496 | 1.1615 | 12100 | Urban | 1.1556 |
| 31100 | Bergen County, New Jersey | 0875 | Urban | 1.1651 | 1.3188 | 35644 | Urban | 1.2420 |
| 31150 | Burlington County, New Jersey | 6160 | Urban | 1.0922 | 1.0517 | 15804 | Urban | 1.0720 |
| 31160 | Camden County, New Jersey | 6160 | Urban | 1.0922 | 1.0517 | 15804 | Urban | 1.0720 |
| 31180 | Cape May County, New Jersey | 0560 | Urban | 1.1496 | 1.1011 | 36140 | Urban | 1.1254 |
| 31190 | Cumberland County, New Jersey | 8760 | Urban | 0.9827 | 0.9827 | 47220 | Urban | 0.9827 |
| 31200 | Essex County, New Jersey | 5640 | Urban | 1.1834 | 1.1883 | 35084 | Urban | 1.1859 |
| 31220 | Gloucester County, New Jersey | 6160 | Urban | 1.0922 | 1.0517 | 15804 | Urban | 1.0720 |
| 31230 | Hudson County, New Jersey | 3640 | Urban | 1.1338 | 1.3188 | 35644 | Urban | 1.2263 |
| 31250 | Hunterdon County, New Jersey | 5015 | Urban | 1.1167 | 1.1883 | 35084 | Urban | 1.1525 |
| 31260 | Mercer County, New Jersey | 8480 | Urban | 1.0834 | 1.0834 | 45940 | Urban | 1.0834 |
| 31270 | Middlesex County, New Jersey | 5015 | Urban | 1.1167 | 1.1249 | 20764 | Urban | 1.1208 |
| 31290 | Monmouth County, New Jersey | 5190 | Urban | 1.1260 | 1.1249 | 20764 | Urban | 1.1255 |
| 31300 | Morris County, New Jersey | 5640 | Urban | 1.1834 | 1.1883 | 35084 | Urban | 1.1859 |
| 31310 | Ocean County, New Jersey | 5190 | Urban | 1.1260 | 1.1249 | 20764 | Urban | 1.1255 |
| 31320 | Passaic County, New Jersey | 0875 | Urban | 1.1651 | 1.3188 | 35644 | Urban | 1.2420 |
| 31340 | Salem County, New Jersey | 6160 | Urban | 1.0922 | 1.0471 | 48864 | Urban | 1.0697 |
| 31350 | Somerset County, New Jersey | 5015 | Urban | 1.1167 | 1.1249 | 20764 | Urban | 1.1208 |
| 31360 | Sussex County, New Jersey | 5640 | Urban | 1.1834 | 1.1883 | 35084 | Urban | 1.1859 |
| 31370 | Union County, New Jersey | 5640 | Urban | 1.1834 | 1.1883 | 35084 | Urban | 1.1859 |
| 31390 | Warren County, New Jersey | 5640 | Urban | 1.1834 | 0.9818 | 10900 | Urban | 1.0826 |
| 32000 | Bernalillo County, New Mexico | 0200 | Urban | 0.9684 | 0.9684 | 10740 | Urban | 0.9684 |
| 32010 | Catron County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32020 | Chaves County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32025 | Cibola County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32030 | Colfax County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32040 | Curry County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32050 | De Baca County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32060 | Dona Ana County, New Mexico | 4100 | Urban | 0.8467 | 0.8467 | 29740 | Urban | 0.8467 |
| 32070 | Eddy County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32080 | Grant County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32090 | Guadalupe County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32100 | Harding County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32110 | Hidalgo County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32120 | Lea County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32130 | Lincoln County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32131 | Los Alamos County, New Mexico | 7490 | Urban | 1.0748 | 0.8635 | 99932 | Rural | 0.9692 |
| 32140 | Luna County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32150 | Mc Kinley County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32160 | Mora County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32170 | Otero County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32180 | Quay County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32190 | Rio Arriba County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32200 | Roosevelt County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32210 | Sandoval County, New Mexico | 0200 | Urban | 0.9684 | 0.9684 | 10740 | Urban | 0.9684 |
| 32220 | San Juan County, New Mexico | 32 | Rural | 0.8563 | 0.8509 | 22140 | Urban | 0.8536 |
| 32230 | San Miguel County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32240 | Santa Fe County, New Mexico | 7490 | Urban | 1.0748 | 1.0920 | 42140 | Urban | 1.0834 |
| 32250 | Sierra County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32260 | Socorro County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32270 | Taos County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32280 | Torrance County, New Mexico | 32 | Rural | 0.8563 | 0.9684 | 10740 | Urban | 0.9124 |
| 32290 | Union County, New Mexico | 32 | Rural | 0.8563 | 0.8635 | 99932 | Rural | 0.8599 |
| 32300 | Valencia County, New Mexico | 0200 | Urban | 0.9684 | 0.9684 | 10740 | Urban | 0.9684 |
| 33000 | Albany County, New York | 0160 | Urban | 0.8559 | 0.8589 | 10580 | Urban | 0.8574 |
| 33010 | Allegany County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33020 | Bronx County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33030 | Broome County, New York | 0960 | Urban | 0.8562 | 0.8562 | 13780 | Urban | 0.8562 |
| 33040 | Cattaraugus County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33050 | Cayuga County, New York | 8160 | Urban | 0.9492 | 0.8154 | 99933 | Rural | 0.8823 |
| 33060 | Chautauqua County, New York | 3610 | Urban | 0.7544 | 0.8154 | 99933 | Rural | 0.7849 |
| 33070 | Chemung County, New York | 2335 | Urban | 0.8250 | 0.8250 | 21300 | Urban | 0.8250 |
| 33080 | Chenango County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33090 | Clinton County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33200 | Columbia County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33210 | Cortland County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33220 | Delaware County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33230 | Dutchess County, New York | 2281 | Urban | 1.0475 | 1.0891 | 39100 | Urban | 1.0683 |
| 33240 | Erie County, New York | 1280 | Urban | 0.9511 | 0.9511 | 15380 | Urban | 0.9511 |
| 33260 | Essex County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33270 | Franklin County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33280 | Fulton County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33290 | Genesee County, New York | 6840 | Urban | 0.9049 | 0.8154 | 99933 | Rural | 0.8602 |
| 33300 | Greene County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33310 | Hamilton County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33320 | Herkimer County, New York | 8680 | Urban | 0.8358 | 0.8358 | 46540 | Urban | 0.8358 |
| 33330 | Jefferson County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33331 | Kings County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33340 | Lewis County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33350 | Livingston County, New York | 6840 | Urban | 0.9049 | 0.9121 | 40380 | Urban | 0.9085 |
| 33360 | Madison County, New York | 8160 | Urban | 0.9492 | 0.9574 | 45060 | Urban | 0.9533 |
| 33370 | Monroe County, New York | 6840 | Urban | 0.9049 | 0.9121 | 40380 | Urban | 0.9085 |
| 33380 | Montgomery County, New York | 0160 | Urban | 0.8559 | 0.8154 | 99933 | Rural | 0.8357 |
| 33400 | Nassau County, New York | 5380 | Urban | 1.2719 | 1.2719 | 35004 | Urban | 1.2719 |
| 33420 | New York County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33500 | Niagara County, New York | 1280 | Urban | 0.9511 | 0.9511 | 15380 | Urban | 0.9511 |
| 33510 | Oneida County, New York | 8680 | Urban | 0.8358 | 0.8358 | 46540 | Urban | 0.8358 |
| 33520 | Onondaga County, New York | 8160 | Urban | 0.9492 | 0.9574 | 45060 | Urban | 0.9533 |
| 33530 | Ontario County, New York | 6840 | Urban | 0.9049 | 0.9121 | 40380 | Urban | 0.9085 |
| 33540 | Orange County, New York | 5660 | Urban | 1.1207 | 1.0891 | 39100 | Urban | 1.1049 |
| 33550 | Orleans County, New York | 6840 | Urban | 0.9049 | 0.9121 | 40380 | Urban | 0.9085 |
| 33560 | Oswego County, New York | 8160 | Urban | 0.9492 | 0.9574 | 45060 | Urban | 0.9533 |
| 33570 | Otsego County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33580 | Putnam County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33590 | Queens County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33600 | Rensselaer County, New York | 0160 | Urban | 0.8559 | 0.8589 | 10580 | Urban | 0.8574 |
| 33610 | Richmond County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33620 | Rockland County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33630 | St Lawrence County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33640 | Saratoga County, New York | 0160 | Urban | 0.8559 | 0.8589 | 10580 | Urban | 0.8574 |
| 33650 | Schenectady County, New York | 0160 | Urban | 0.8559 | 0.8589 | 10580 | Urban | 0.8574 |
| 33660 | Schoharie County, New York | 0160 | Urban | 0.8559 | 0.8589 | 10580 | Urban | 0.8574 |
| 33670 | Schuyler County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33680 | Seneca County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33690 | Steuben County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33700 | Suffolk County, New York | 5380 | Urban | 1.2719 | 1.2719 | 35004 | Urban | 1.2719 |
| 33710 | Sullivan County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33720 | Tioga County, New York | 0960 | Urban | 0.8562 | 0.8562 | 13780 | Urban | 0.8562 |
| 33730 | Tompkins County, New York | 33 | Rural | 0.8395 | 0.9793 | 27060 | Urban | 0.9094 |
| 33740 | Ulster County, New York | 33 | Rural | 0.8395 | 0.9255 | 28740 | Urban | 0.8825 |
| 33750 | Warren County, New York | 2975 | Urban | 0.8559 | 0.8559 | 24020 | Urban | 0.8559 |
| 33760 | Washington County, New York | 2975 | Urban | 0.8559 | 0.8559 | 24020 | Urban | 0.8559 |
| 33770 | Wayne County, New York | 6840 | Urban | 0.9049 | 0.9121 | 40380 | Urban | 0.9085 |
| 33800 | Westchester County, New York | 5600 | Urban | 1.3464 | 1.3188 | 35644 | Urban | 1.3326 |
| 33900 | Wyoming County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 33910 | Yates County, New York | 33 | Rural | 0.8395 | 0.8154 | 99933 | Rural | 0.8275 |
| 34000 | Alamance County, N Carolina | 3120 | Urban | 0.9018 | 0.8905 | 15500 | Urban | 0.8962 |
| 34010 | Alexander County, N Carolina | 3290 | Urban | 0.8921 | 0.8921 | 25860 | Urban | 0.8921 |
| 34020 | Alleghany County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34030 | Anson County, N Carolina | 34 | Rural | 0.8462 | 0.9750 | 16740 | Urban | 0.9106 |
| 34040 | Ashe County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34050 | Avery County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34060 | Beaufort County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34070 | Bertie County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34080 | Bladen County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34090 | Brunswick County, N Carolina | 9200 | Urban | 0.9582 | 0.9582 | 48900 | Urban | 0.9582 |
| 34100 | Buncombe County, N Carolina | 0480 | Urban | 0.9737 | 0.9285 | 11700 | Urban | 0.9511 |
| 34110 | Burke County, N Carolina | 3290 | Urban | 0.8921 | 0.8921 | 25860 | Urban | 0.8921 |
| 34120 | Cabarrus County, N Carolina | 1520 | Urban | 0.9715 | 0.9750 | 16740 | Urban | 0.9733 |
| 34130 | Caldwell County, N Carolina | 3290 | Urban | 0.8921 | 0.8921 | 25860 | Urban | 0.8921 |
| 34140 | Camden County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34150 | Carteret County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34160 | Caswell County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34170 | Catawba County, N Carolina | 3290 | Urban | 0.8921 | 0.8921 | 25860 | Urban | 0.8921 |
| 34180 | Chatham County, N Carolina | 6640 | Urban | 1.0034 | 1.0244 | 20500 | Urban | 1.0139 |
| 34190 | Cherokee County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34200 | Chowan County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34210 | Clay County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34220 | Cleveland County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34230 | Columbus County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34240 | Craven County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34250 | Cumberland County, N Carolina | 2560 | Urban | 0.9416 | 0.9416 | 22180 | Urban | 0.9416 |
| 34251 | Currituck County, N Carolina | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 34270 | are County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34280 | Davidson County, N Carolina | 3120 | Urban | 0.9018 | 0.8540 | 99934 | Rural | 0.8779 |
| 34290 | Davie County, N Carolina | 3120 | Urban | 0.9018 | 0.8944 | 49180 | Urban | 0.8981 |
| 34300 | Duplin County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34310 | Durham County, N Carolina | 6640 | Urban | 1.0034 | 1.0244 | 20500 | Urban | 1.0139 |
| 34320 | Edgecombe County, N Carolina | 6895 | Urban | 0.8915 | 0.8915 | 40580 | Urban | 0.8915 |
| 34330 | Forsyth County, N Carolina | 3120 | Urban | 0.9018 | 0.8944 | 49180 | Urban | 0.8981 |
| 34340 | Franklin County, N Carolina | 6640 | Urban | 1.0034 | 0.9691 | 39580 | Urban | 0.9863 |
| 34350 | Gaston County, N Carolina | 1520 | Urban | 0.9715 | 0.9750 | 16740 | Urban | 0.9733 |
| 34360 | Gates County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34370 | Graham County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34380 | Granville County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34390 | Greene County, N Carolina | 34 | Rural | 0.8462 | 0.9425 | 24780 | Urban | 0.8944 |
| 34400 | Guilford County, N Carolina | 3120 | Urban | 0.9018 | 0.9104 | 24660 | Urban | 0.9061 |
| 34410 | Halifax County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34420 | Harnett County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34430 | Haywood County, N Carolina | 34 | Rural | 0.8462 | 0.9285 | 11700 | Urban | 0.8874 |
| 34440 | Henderson County, N Carolina | 34 | Rural | 0.8462 | 0.9285 | 11700 | Urban | 0.8874 |
| 34450 | Hertford County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34460 | Hoke County, N Carolina | 34 | Rural | 0.8462 | 0.9416 | 22180 | Urban | 0.8939 |
| 34470 | Hyde County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34480 | Iredell County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34490 | Jackson County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34500 | Johnston County, N Carolina | 6640 | Urban | 1.0034 | 0.9691 | 39580 | Urban | 0.9863 |
| 34510 | Jones County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34520 | Lee County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34530 | Lenoir County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34540 | Lincoln County, N Carolina | 1520 | Urban | 0.9715 | 0.8540 | 99934 | Rural | 0.9128 |
| 34550 | Mc Dowell County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34560 | Macon County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34570 | Madison County, N Carolina | 0480 | Urban | 0.9737 | 0.9285 | 11700 | Urban | 0.9511 |
| 34580 | Martin County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34590 | Mecklenburg County, N Carolina | 1520 | Urban | 0.9715 | 0.9750 | 16740 | Urban | 0.9733 |
| 34600 | Mitchell County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34610 | Montgomery County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34620 | Moore County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34630 | Nash County, N Carolina | 6895 | Urban | 0.8915 | 0.8915 | 40580 | Urban | 0.8915 |
| 34640 | New Hanover County, N Carolina | 9200 | Urban | 0.9582 | 0.9582 | 48900 | Urban | 0.9582 |
| 34650 | Northampton County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34660 | Onslow County, N Carolina | 3605 | Urban | 0.8236 | 0.8236 | 27340 | Urban | 0.8236 |
| 34670 | Orange County, N Carolina | 6640 | Urban | 1.0034 | 1.0244 | 20500 | Urban | 1.0139 |
| 34680 | Pamlico County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34690 | Pasquotank County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34700 | Pender County, N Carolina | 34 | Rural | 0.8462 | 0.9582 | 48900 | Urban | 0.9022 |
| 34710 | Perquimans County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34720 | Person County, N Carolina | 34 | Rural | 0.8462 | 1.0244 | 20500 | Urban | 0.9353 |
| 34730 | Pitt County, N Carolina | 3150 | Urban | 0.9425 | 0.9425 | 24780 | Urban | 0.9425 |
| 34740 | Polk County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34750 | Randolph County, N Carolina | 3120 | Urban | 0.9018 | 0.9104 | 24660 | Urban | 0.9061 |
| 34760 | Richmond County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34770 | Robeson County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34780 | Rockingham County, N Carolina | 34 | Rural | 0.8462 | 0.9104 | 24660 | Urban | 0.8783 |
| 34790 | Rowan County, N Carolina | 1520 | Urban | 0.9715 | 0.8540 | 99934 | Rural | 0.9128 |
| 34800 | Rutherford County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34810 | Sampson County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34820 | Scotland County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34830 | Stanly County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34840 | Stokes County, N Carolina | 3120 | Urban | 0.9018 | 0.8944 | 49180 | Urban | 0.8981 |
| 34850 | Surry County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34860 | Swain County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34870 | Transylvania County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34880 | Tyrrell County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34890 | Union County, N Carolina | 1520 | Urban | 0.9715 | 0.9750 | 16740 | Urban | 0.9733 |
| 34900 | Vance County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34910 | Wake County, N Carolina | 6640 | Urban | 1.0034 | 0.9691 | 39580 | Urban | 0.9863 |
| 34920 | Warren County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34930 | Washington County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34940 | Watauga County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34950 | Wayne County, N Carolina | 2980 | Urban | 0.8775 | 0.8775 | 24140 | Urban | 0.8775 |
| 34960 | Wilkes County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34970 | Wilson County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 34980 | Yadkin County, N Carolina | 3120 | Urban | 0.9018 | 0.8944 | 49180 | Urban | 0.8981 |
| 34981 | Yancey County, N Carolina | 34 | Rural | 0.8462 | 0.8540 | 99934 | Rural | 0.8501 |
| 35000 | Adams County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35010 | Barnes County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35020 | Benson County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35030 | Billings County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35040 | Bottineau County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35050 | Bowman County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35060 | Burke County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35070 | Burleigh County, N Dakota | 1010 | Urban | 0.7574 | 0.7574 | 13900 | Urban | 0.7574 |
| 35080 | Cass County, N Dakota | 2520 | Urban | 0.8486 | 0.8486 | 22020 | Urban | 0.8486 |
| 35090 | Cavalier County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35100 | Dickey County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35110 | Divide County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35120 | Dunn County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35130 | Eddy County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35140 | Emmons County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35150 | Foster County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35160 | Golden Valley County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35170 | Grand Forks County, N Dakota | 2985 | Urban | 0.7901 | 0.7901 | 24220 | Urban | 0.7901 |
| 35180 | Grant County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35190 | Griggs County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35200 | Hettinger County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35210 | Kidder County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35220 | La Moure County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35230 | Logan County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35240 | Mc Henry County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35250 | Mc Intosh County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35260 | Mc Kenzie County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35270 | Mc Lean County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35280 | Mercer County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35290 | Morton County, N Dakota | 1010 | Urban | 0.7574 | 0.7574 | 13900 | Urban | 0.7574 |
| 35300 | Mountrail County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35310 | Nelson County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35320 | Oliver County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35330 | Pembina County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35340 | Pierce County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35350 | Ramsey County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35360 | Ransom County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35370 | Renville County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35380 | Richland County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35390 | Rolette County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35400 | Sargent County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35410 | Sheridan County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35420 | Sioux County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35430 | Slope County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35440 | Stark County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35450 | Steele County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35460 | Stutsman County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35470 | Towner County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35480 | Traill County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35490 | Walsh County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35500 | Ward County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35510 | Wells County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 35520 | Williams County, N Dakota | 35 | Rural | 0.7261 | 0.7261 | 99935 | Rural | 0.7261 |
| 36000 | Adams County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36010 | Allen County, Ohio | 4320 | Urban | 0.9119 | 0.9225 | 30620 | Urban | 0.9172 |
| 36020 | Ashland County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36030 | Ashtabula County, Ohio | 1680 | Urban | 0.9183 | 0.8826 | 99936 | Rural | 0.9005 |
| 36040 | Athens County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36050 | Auglaize County, Ohio | 4320 | Urban | 0.9119 | 0.8826 | 99936 | Rural | 0.8973 |
| 36060 | Belmont County, Ohio | 9000 | Urban | 0.7161 | 0.7161 | 48540 | Urban | 0.7161 |
| 36070 | Brown County, Ohio | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 36080 | Butler County, Ohio | 3200 | Urban | 0.8951 | 0.9615 | 17140 | Urban | 0.9283 |
| 36090 | Carroll County, Ohio | 1320 | Urban | 0.8935 | 0.8935 | 15940 | Urban | 0.8935 |
| 36100 | Champaign County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36110 | Clark County, Ohio | 2000 | Urban | 0.8980 | 0.8396 | 44220 | Urban | 0.8688 |
| 36120 | Clermont County, Ohio | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 36130 | Clinton County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36140 | Columbiana County, Ohio | 9320 | Urban | 0.8848 | 0.8826 | 99936 | Rural | 0.8837 |
| 36150 | Coshocton County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36160 | Crawford County, Ohio | 4800 | Urban | 0.9891 | 0.8826 | 99936 | Rural | 0.9359 |
| 36170 | Cuyahoga County, Ohio | 1680 | Urban | 0.9183 | 0.9213 | 17460 | Urban | 0.9198 |
| 36190 | Darke County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36200 | Defiance County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36210 | Delaware County, Ohio | 1840 | Urban | 0.9874 | 0.9860 | 18140 | Urban | 0.9867 |
| 36220 | Erie County, Ohio | 36 | Rural | 0.8921 | 0.9019 | 41780 | Urban | 0.8970 |
| 36230 | Fairfield County, Ohio | 1840 | Urban | 0.9874 | 0.9860 | 18140 | Urban | 0.9867 |
| 36240 | Fayette County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36250 | Franklin County, Ohio | 1840 | Urban | 0.9874 | 0.9860 | 18140 | Urban | 0.9867 |
| 36260 | Fulton County, Ohio | 8400 | Urban | 0.9574 | 0.9574 | 45780 | Urban | 0.9574 |
| 36270 | Gallia County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36280 | Geauga County, Ohio | 1680 | Urban | 0.9183 | 0.9213 | 17460 | Urban | 0.9198 |
| 36290 | Greene County, Ohio | 2000 | Urban | 0.8980 | 0.9064 | 19380 | Urban | 0.9022 |
| 36300 | Guernsey County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36310 | Hamilton County, Ohio | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 36330 | Hancock County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36340 | Hardin County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36350 | Harrison County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36360 | Henry County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36370 | Highland County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36380 | Hocking County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36390 | Holmes County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36400 | Huron County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36410 | Jackson County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36420 | Jefferson County, Ohio | 8080 | Urban | 0.7819 | 0.7819 | 48260 | Urban | 0.7819 |
| 36430 | Knox County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36440 | Lake County, Ohio | 1680 | Urban | 0.9183 | 0.9213 | 17460 | Urban | 0.9198 |
| 36450 | Lawrence County, Ohio | 3400 | Urban | 0.9477 | 0.9477 | 26580 | Urban | 0.9477 |
| 36460 | Licking County, Ohio | 1840 | Urban | 0.9874 | 0.9860 | 18140 | Urban | 0.9867 |
| 36470 | Logan County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36480 | Lorain County, Ohio | 1680 | Urban | 0.9183 | 0.9213 | 17460 | Urban | 0.9198 |
| 36490 | Lucas County, Ohio | 8400 | Urban | 0.9574 | 0.9574 | 45780 | Urban | 0.9574 |
| 36500 | Madison County, Ohio | 1840 | Urban | 0.9874 | 0.9860 | 18140 | Urban | 0.9867 |
| 36510 | Mahoning County, Ohio | 9320 | Urban | 0.8848 | 0.8603 | 49660 | Urban | 0.8726 |
| 36520 | Marion County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36530 | Medina County, Ohio | 1680 | Urban | 0.9183 | 0.9213 | 17460 | Urban | 0.9198 |
| 36540 | Meigs County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36550 | Mercer County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36560 | Miami County, Ohio | 2000 | Urban | 0.8980 | 0.9064 | 19380 | Urban | 0.9022 |
| 36570 | Monroe County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36580 | Montgomery County, Ohio | 2000 | Urban | 0.8980 | 0.9064 | 19380 | Urban | 0.9022 |
| 36590 | Morgan County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36600 | Morrow County, Ohio | 36 | Rural | 0.8921 | 0.9860 | 18140 | Urban | 0.9391 |
| 36610 | Muskingum County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36620 | Noble County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36630 | Ottawa County, Ohio | 36 | Rural | 0.8921 | 0.9574 | 45780 | Urban | 0.9248 |
| 36640 | Paulding County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36650 | Perry County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36660 | Pickaway County, Ohio | 1840 | Urban | 0.9874 | 0.9860 | 18140 | Urban | 0.9867 |
| 36670 | Pike County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36680 | Portage County, Ohio | 0080 | Urban | 0.8982 | 0.8982 | 10420 | Urban | 0.8982 |
| 36690 | Preble County, Ohio | 36 | Rural | 0.8921 | 0.9064 | 19380 | Urban | 0.8993 |
| 36700 | Putnam County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36710 | Richland County, Ohio | 4800 | Urban | 0.9891 | ------1 | 31900 | Urban | 0.8902 |
| 36720 | Ross County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36730 | Sandusky County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36740 | Scioto County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36750 | Seneca County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36760 | Shelby County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36770 | Stark County, Ohio | 1320 | Urban | 0.8935 | 0.8935 | 15940 | Urban | 0.8935 |
| 36780 | Summit County, Ohio | 0080 | Urban | 0.8982 | 0.8982 | 10420 | Urban | 0.8982 |
| 36790 | Trumbull County, Ohio | 9320 | Urban | 0.8848 | 0.8603 | 49660 | Urban | 0.8726 |
| 36800 | Tuscarawas County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36810 | Union County, Ohio | 36 | Rural | 0.8921 | 0.9860 | 18140 | Urban | 0.9391 |
| 36820 | Van Wert County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36830 | Vinton County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36840 | Warren County, Ohio | 1640 | Urban | 0.9734 | 0.9615 | 17140 | Urban | 0.9675 |
| 36850 | Washington County, Ohio | 6020 | Urban | 0.8270 | 0.8270 | 37620 | Urban | 0.8270 |
| 36860 | Wayne County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36870 | Williams County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 36880 | Wood County, Ohio | 8400 | Urban | 0.9574 | 0.9574 | 45780 | Urban | 0.9574 |
| 36890 | Wyandot County, Ohio | 36 | Rural | 0.8921 | 0.8826 | 99936 | Rural | 0.8874 |
| 37000 | Adair County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37010 | Alfalfa County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37020 | Atoka County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37030 | Beaver County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37040 | Beckham County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37050 | Blaine County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37060 | Bryan County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37070 | Caddo County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37080 | Canadian County, Oklahoma | 5880 | Urban | 0.9025 | 0.9031 | 36420 | Urban | 0.9028 |
| 37090 | Carter County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37100 | Cherokee County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37110 | Choctaw County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37120 | Cimarron County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37130 | Cleveland County, Oklahoma | 5880 | Urban | 0.9025 | 0.9031 | 36420 | Urban | 0.9028 |
| 37140 | Coal County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37150 | Comanche County, Oklahoma | 4200 | Urban | 0.7872 | 0.7872 | 30020 | Urban | 0.7872 |
| 37160 | Cotton County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37170 | Craig County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37180 | Creek County, Oklahoma | 8560 | Urban | 0.8587 | 0.8543 | 46140 | Urban | 0.8565 |
| 37190 | Custer County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37200 | Delaware County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37210 | Dewey County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37220 | Ellis County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37230 | Garfield County, Oklahoma | 2340 | Urban | 0.8666 | 0.7581 | 99937 | Rural | 0.8124 |
| 37240 | Garvin County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37250 | Grady County, Oklahoma | 37 | Rural | 0.7442 | 0.9031 | 36420 | Urban | 0.8237 |
| 37260 | Grant County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37270 | Greer County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37280 | Harmon County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37290 | Harper County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37300 | Haskell County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37310 | Hughes County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37320 | Jackson County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37330 | Jefferson County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37340 | Johnston County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37350 | Kay County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37360 | Kingfisher County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37370 | Kiowa County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37380 | Latimer County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37390 | Le Flore County, Oklahoma | 37 | Rural | 0.7442 | 0.8230 | 22900 | Urban | 0.7836 |
| 37400 | Lincoln County, Oklahoma | 37 | Rural | 0.7442 | 0.9031 | 36420 | Urban | 0.8237 |
| 37410 | Logan County, Oklahoma | 5880 | Urban | 0.9025 | 0.9031 | 36420 | Urban | 0.9028 |
| 37420 | Love County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37430 | Mc Clain County, Oklahoma | 5880 | Urban | 0.9025 | 0.9031 | 36420 | Urban | 0.9028 |
| 37440 | Mc Curtain County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37450 | Mc Intosh County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37460 | Major County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37470 | Marshall County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37480 | Mayes County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37490 | Murray County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37500 | Muskogee County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37510 | Noble County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37520 | Nowata County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37530 | Okfuskee County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37540 | Oklahoma County, Oklahoma | 5880 | Urban | 0.9025 | 0.9031 | 36420 | Urban | 0.9028 |
| 37550 | Okmulgee County, Oklahoma | 37 | Rural | 0.7442 | 0.8543 | 46140 | Urban | 0.7993 |
| 37560 | Osage County, Oklahoma | 8560 | Urban | 0.8587 | 0.8543 | 46140 | Urban | 0.8565 |
| 37570 | Ottawa County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37580 | Pawnee County, Oklahoma | 37 | Rural | 0.7442 | 0.8543 | 46140 | Urban | 0.7993 |
| 37590 | Payne County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37600 | Pittsburg County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37610 | Pontotoc County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37620 | Pottawatomie County, Oklahoma | 5880 | Urban | 0.9025 | 0.7581 | 99937 | Rural | 0.8303 |
| 37630 | Pushmataha County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37640 | Roger Mills County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37650 | Rogers County, Oklahoma | 8560 | Urban | 0.8587 | 0.8543 | 46140 | Urban | 0.8565 |
| 37660 | Seminole County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37670 | Sequoyah County, Oklahoma | 2720 | Urban | 0.8246 | 0.8230 | 22900 | Urban | 0.8238 |
| 37680 | Stephens County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37690 | Texas County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37700 | Tillman County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37710 | Tulsa County, Oklahoma | 8560 | Urban | 0.8587 | 0.8543 | 46140 | Urban | 0.8565 |
| 37720 | Wagoner County, Oklahoma | 8560 | Urban | 0.8587 | 0.8543 | 46140 | Urban | 0.8565 |
| 37730 | Washington County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37740 | Washita County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37750 | Woods County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 37760 | Woodward County, Oklahoma | 37 | Rural | 0.7442 | 0.7581 | 99937 | Rural | 0.7512 |
| 38000 | Baker County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38010 | Benton County, Oregon | 1890 | Urban | 1.0729 | 1.0729 | 18700 | Urban | 1.0729 |
| 38020 | Clackamas County, Oregon | 6440 | Urban | 1.1266 | 1.1266 | 38900 | Urban | 1.1266 |
| 38030 | Clatsop County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38040 | Columbia County, Oregon | 6440 | Urban | 1.1266 | 1.1266 | 38900 | Urban | 1.1266 |
| 38050 | Coos County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38060 | Crook County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38070 | Curry County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38080 | Deschutes County, Oregon | 38 | Rural | 1.0052 | 1.0786 | 13460 | Urban | 1.0419 |
| 38090 | Douglas County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38100 | Gilliam County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38110 | Grant County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38120 | Harney County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38130 | Hood River County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38140 | Jackson County, Oregon | 4890 | Urban | 1.0225 | 1.0225 | 32780 | Urban | 1.0225 |
| 38150 | Jefferson County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38160 | Josephine County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38170 | Klamath County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38180 | Lake County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38190 | Lane County, Oregon | 2400 | Urban | 1.0818 | 1.0818 | 21660 | Urban | 1.0818 |
| 38200 | Lincoln County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38210 | Linn County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38220 | Malheur County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38230 | Marion County, Oregon | 7080 | Urban | 1.0442 | 1.0442 | 41420 | Urban | 1.0442 |
| 38240 | Morrow County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38250 | Multnomah County, Oregon | 6440 | Urban | 1.1266 | 1.1266 | 38900 | Urban | 1.1266 |
| 38260 | Polk County, Oregon | 7080 | Urban | 1.0442 | 1.0442 | 41420 | Urban | 1.0442 |
| 38270 | Sherman County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38280 | Tillamook County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38290 | Umatilla County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38300 | Union County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38310 | Wallowa County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38320 | Wasco County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38330 | Washington County, Oregon | 6440 | Urban | 1.1266 | 1.1266 | 38900 | Urban | 1.1266 |
| 38340 | Wheeler County, Oregon | 38 | Rural | 1.0052 | 0.9826 | 99938 | Rural | 0.9939 |
| 38350 | Yamhill County, Oregon | 6440 | Urban | 1.1266 | 1.1266 | 38900 | Urban | 1.1266 |
| 39000 | Adams County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39010 | Allegheny County, Pennsylvania | 6280 | Urban | 0.8860 | 0.8845 | 38300 | Urban | 0.8853 |
| 39070 | Armstrong County, Pennsylvania | 39 | Rural | 0.8319 | 0.8845 | 38300 | Urban | 0.8582 |
| 39080 | Beaver County, Pennsylvania | 6280 | Urban | 0.8860 | 0.8845 | 38300 | Urban | 0.8853 |
| 39100 | Bedford County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39110 | Berks County, Pennsylvania | 6680 | Urban | 0.9686 | 0.9686 | 39740 | Urban | 0.9686 |
| 39120 | Blair County, Pennsylvania | 0280 | Urban | 0.8944 | 0.8944 | 11020 | Urban | 0.8944 |
| 39130 | Bradford County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39140 | Bucks County, Pennsylvania | 6160 | Urban | 1.0922 | 1.1038 | 37964 | Urban | 1.0980 |
| 39150 | Butler County, Pennsylvania | 6280 | Urban | 0.8860 | 0.8845 | 38300 | Urban | 0.8853 |
| 39160 | Cambria County, Pennsylvania | 3680 | Urban | 0.8086 | 0.8354 | 27780 | Urban | 0.8220 |
| 39180 | Cameron County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39190 | Carbon County, Pennsylvania | 0240 | Urban | 0.9845 | 0.9818 | 10900 | Urban | 0.9832 |
| 39200 | Centre County, Pennsylvania | 8050 | Urban | 0.8356 | 0.8356 | 44300 | Urban | 0.8356 |
| 39210 | Chester County, Pennsylvania | 6160 | Urban | 1.0922 | 1.1038 | 37964 | Urban | 1.0980 |
| 39220 | Clarion County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39230 | Clearfield County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39240 | Clinton County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39250 | Columbia County, Pennsylvania | 7560 | Urban | 0.8524 | 0.8291 | 99939 | Rural | 0.8408 |
| 39260 | Crawford County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39270 | Cumberland County, Pennsylvania | 3240 | Urban | 0.9233 | 0.9313 | 25420 | Urban | 0.9273 |
| 39280 | Dauphin County, Pennsylvania | 3240 | Urban | 0.9233 | 0.9313 | 25420 | Urban | 0.9273 |
| 39290 | Delaware County, Pennsylvania | 6160 | Urban | 1.0922 | 1.1038 | 37964 | Urban | 1.0980 |
| 39310 | Elk County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39320 | Erie County, Pennsylvania | 2360 | Urban | 0.8737 | 0.8737 | 21500 | Urban | 0.8737 |
| 39330 | Fayette County, Pennsylvania | 6280 | Urban | 0.8860 | 0.8845 | 38300 | Urban | 0.8853 |
| 39340 | Forest County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39350 | Franklin County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39360 | Fulton County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39370 | Greene County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39380 | Huntingdon County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39390 | Indiana County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39400 | Jefferson County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39410 | Juniata County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39420 | Lackawanna County, Pennsylvania | 7560 | Urban | 0.8524 | 0.8540 | 42540 | Urban | 0.8532 |
| 39440 | Lancaster County, Pennsylvania | 4000 | Urban | 0.9694 | 0.9694 | 29540 | Urban | 0.9694 |
| 39450 | Lawrence County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39460 | Lebanon County, Pennsylvania | 3240 | Urban | 0.9233 | 0.8459 | 30140 | Urban | 0.8846 |
| 39470 | Lehigh County, Pennsylvania | 0240 | Urban | 0.9845 | 0.9818 | 10900 | Urban | 0.9832 |
| 39480 | Luzerne County, Pennsylvania | 7560 | Urban | 0.8524 | 0.8540 | 42540 | Urban | 0.8532 |
| 39510 | Lycoming County, Pennsylvania | 9140 | Urban | 0.8364 | 0.8364 | 48700 | Urban | 0.8364 |
| 39520 | Mc Kean County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39530 | Mercer County, Pennsylvania | 7610 | Urban | 0.7793 | 0.8603 | 49660 | Urban | 0.8198 |
| 39540 | Mifflin County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39550 | Monroe County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39560 | Montgomery County, Pennsylvania | 6160 | Urban | 1.0922 | 1.1038 | 37964 | Urban | 1.0980 |
| 39580 | Montour County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39590 | Northampton County, Pennsylvania | 0240 | Urban | 0.9845 | 0.9818 | 10900 | Urban | 0.9832 |
| 39600 | Northumberland County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39610 | Perry County, Pennsylvania | 3240 | Urban | 0.9233 | 0.9313 | 25420 | Urban | 0.9273 |
| 39620 | Philadelphia County, Pennsylvania | 6160 | Urban | 1.0922 | 1.1038 | 37964 | Urban | 1.0980 |
| 39630 | Pike County, Pennsylvania | 5660 | Urban | 1.1207 | 1.1883 | 35084 | Urban | 1.1545 |
| 39640 | Potter County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39650 | Schuylkill County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39670 | Snyder County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39680 | Somerset County, Pennsylvania | 3680 | Urban | 0.8086 | 0.8291 | 99939 | Rural | 0.8189 |
| 39690 | Sullivan County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39700 | Susquehanna County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39710 | Tioga County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39720 | Union County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39730 | Venango County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39740 | Warren County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39750 | Washington County, Pennsylvania | 6280 | Urban | 0.8860 | 0.8845 | 38300 | Urban | 0.8853 |
| 39760 | Wayne County, Pennsylvania | 39 | Rural | 0.8319 | 0.8291 | 99939 | Rural | 0.8305 |
| 39770 | Westmoreland County, Pennsylvania | 6280 | Urban | 0.8860 | 0.8845 | 38300 | Urban | 0.8853 |
| 39790 | Wyoming County, Pennsylvania | 7560 | Urban | 0.8524 | 0.8540 | 42540 | Urban | 0.8532 |
| 39800 | York County, Pennsylvania | 9280 | Urban | 0.9347 | 0.9347 | 49620 | Urban | 0.9347 |
| 40010 | Adjuntas County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40020 | Aguada County, Puerto Rico | 0060 | Urban | 0.4876 | 0.4738 | 10380 | Urban | 0.4807 |
| 40030 | Aguadilla County, Puerto Rico | 0060 | Urban | 0.4876 | 0.4738 | 10380 | Urban | 0.4807 |
| 40040 | Aguas Buenas County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40050 | Aibonito County, Puerto Rico | 40 | Rural | 0.3604 | 0.4621 | 41980 | Urban | 0.4113 |
| 40060 | Anasco County, Puerto Rico | 4840 | Urban | 0.4243 | 0.4738 | 10380 | Urban | 0.4491 |
| 40070 | Arecibo County, Puerto Rico | 0470 | Urban | 0.4112 | 0.4621 | 41980 | Urban | 0.4367 |
| 40080 | Arroyo County, Puerto Rico | 40 | Rural | 0.3604 | 0.3181 | 25020 | Urban | 0.3393 |
| 40090 | Barceloneta County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40100 | Barranquitas County, Puerto Rico | 40 | Rural | 0.3604 | 0.4621 | 41980 | Urban | 0.4113 |
| 40110 | Bayamon County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40120 | Cabo Rojo County, Puerto Rico | 4840 | Urban | 0.4243 | 0.4650 | 41900 | Urban | 0.4447 |
| 40130 | Caguas County, Puerto Rico | 1310 | Urban | 0.4120 | 0.4621 | 41980 | Urban | 0.4371 |
| 40140 | Camuy County, Puerto Rico | 0470 | Urban | 0.4112 | 0.4621 | 41980 | Urban | 0.4367 |
| 40145 | Canovanas County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40150 | Carolina County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40160 | Catano County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40170 | Cayey County, Puerto Rico | 1310 | Urban | 0.4120 | 0.4621 | 41980 | Urban | 0.4371 |
| 40180 | Ceiba County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4153 | 21940 | Urban | 0.4453 |
| 40190 | Ciales County, Puerto Rico | 40 | Rural | 0.3604 | 0.4621 | 41980 | Urban | 0.4113 |
| 40200 | Cidra County, Puerto Rico | 1310 | Urban | 0.4120 | 0.4621 | 41980 | Urban | 0.4371 |
| 40210 | Coamo County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40220 | Comerio County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40230 | Corozal County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40240 | Culebra County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40250 | Dorado County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40260 | Fajardo County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4153 | 21940 | Urban | 0.4453 |
| 40265 | Florida County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40270 | Guanica County, Puerto Rico | 40 | Rural | 0.3604 | 0.4408 | 49500 | Urban | 0.4006 |
| 40280 | Guayama County, Puerto Rico | 40 | Rural | 0.3604 | 0.3181 | 25020 | Urban | 0.3393 |
| 40290 | Guayanilla County, Puerto Rico | 6360 | Urban | 0.4881 | 0.4408 | 49500 | Urban | 0.4645 |
| 40300 | Guaynabo County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40310 | Gurabo County, Puerto Rico | 1310 | Urban | 0.4120 | 0.4621 | 41980 | Urban | 0.4371 |
| 40320 | Hatillo County, Puerto Rico | 0470 | Urban | 0.4112 | 0.4621 | 41980 | Urban | 0.4367 |
| 40330 | Hormigueros County, Puerto Rico | 4840 | Urban | 0.4243 | 0.4020 | 32420 | Urban | 0.4132 |
| 40340 | Humacao County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40350 | Isabela County, Puerto Rico | 40 | Rural | 0.3604 | 0.4738 | 10380 | Urban | 0.4171 |
| 40360 | Jayuya County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40370 | Juana Diaz County, Puerto Rico | 6360 | Urban | 0.4881 | 0.4939 | 38660 | Urban | 0.4910 |
| 40380 | Juncos County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40390 | Lajas County, Puerto Rico | 40 | Rural | 0.3604 | 0.4650 | 41900 | Urban | 0.4127 |
| 40400 | Lares County, Puerto Rico | 40 | Rural | 0.3604 | 0.4738 | 10380 | Urban | 0.4171 |
| 40410 | Las Marias County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40420 | Las Piedras County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40430 | Loiza County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40440 | Luquillo County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4153 | 21940 | Urban | 0.4453 |
| 40450 | Manati County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40460 | Maricao County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40470 | Maunabo County, Puerto Rico | 40 | Rural | 0.3604 | 0.4621 | 41980 | Urban | 0.4113 |
| 40480 | Mayaguez County, Puerto Rico | 4840 | Urban | 0.4243 | 0.4020 | 32420 | Urban | 0.4132 |
| 40490 | Moca County, Puerto Rico | 0060 | Urban | 0.4876 | 0.4738 | 10380 | Urban | 0.4807 |
| 40500 | Morovis County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40510 | Naguabo County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40520 | Naranjito County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40530 | Orocovis County, Puerto Rico | 40 | Rural | 0.3604 | 0.4621 | 41980 | Urban | 0.4113 |
| 40540 | Patillas County, Puerto Rico | 40 | Rural | 0.3604 | 0.3181 | 25020 | Urban | 0.3393 |
| 40550 | Penuelas County, Puerto Rico | 6360 | Urban | 0.4881 | 0.4408 | 49500 | Urban | 0.4645 |
| 40560 | Ponce County, Puerto Rico | 6360 | Urban | 0.4881 | 0.4939 | 38660 | Urban | 0.4910 |
| 40570 | Quebradillas County, Puerto Rico | 40 | Rural | 0.3604 | 0.4621 | 41980 | Urban | 0.4113 |
| 40580 | Rincon County, Puerto Rico | 40 | Rural | 0.3604 | 0.4738 | 10380 | Urban | 0.4171 |
| 40590 | Rio Grande County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40610 | Sabana Grande County, Puerto Rico | 4840 | Urban | 0.4243 | 0.4650 | 41900 | Urban | 0.4447 |
| 40620 | Salinas County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40630 | San German County, Puerto Rico | 4840 | Urban | 0.4243 | 0.4650 | 41900 | Urban | 0.4447 |
| 40640 | San Juan County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40650 | San Lorenzo County, Puerto Rico | 1310 | Urban | 0.4120 | 0.4621 | 41980 | Urban | 0.4371 |
| 40660 | San Sebastian County, Puerto Rico | 40 | Rural | 0.3604 | 0.4738 | 10380 | Urban | 0.4171 |
| 40670 | Santa Isabel County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40680 | Toa Alta County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40690 | Toa Baja County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40700 | Trujillo Alto County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40710 | Utuado County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40720 | Vega Alta County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40730 | Vega Baja County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40740 | Vieques County, Puerto Rico | 40 | Rural | 0.3604 | 0.4047 | 99940 | Rural | 0.3826 |
| 40750 | Villalba County, Puerto Rico | 6360 | Urban | 0.4881 | 0.4939 | 38660 | Urban | 0.4910 |
| 40760 | Yabucoa County, Puerto Rico | 7440 | Urban | 0.4752 | 0.4621 | 41980 | Urban | 0.4687 |
| 40770 | Yauco County, Puerto Rico | 6360 | Urban | 0.4881 | 0.4408 | 49500 | Urban | 0.4645 |
| 41000 | Bristol County, Rhode Island | 6483 | Urban | 1.1058 | 1.0966 | 39300 | Urban | 1.1012 |
| 41010 | Kent County, Rhode Island | 6483 | Urban | 1.1058 | 1.0966 | 39300 | Urban | 1.1012 |
| 41020 | Newport County, Rhode Island | 6483 | Urban | 1.1058 | 1.0966 | 39300 | Urban | 1.1012 |
| 41030 | Providence County, Rhode Island | 6483 | Urban | 1.1058 | 1.0966 | 39300 | Urban | 1.1012 |
| 41050 | Washington County, Rhode Island | 6483 | Urban | 1.1058 | 1.0966 | 39300 | Urban | 1.1012 |
| 42000 | Abbeville County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42010 | Aiken County, S Carolina | 0600 | Urban | 0.9808 | 0.9748 | 12260 | Urban | 0.9778 |
| 42020 | Allendale County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42030 | Anderson County, S Carolina | 3160 | Urban | 0.9615 | 0.8997 | 11340 | Urban | 0.9306 |
| 42040 | Bamberg County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42050 | Barnwell County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42060 | Beaufort County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42070 | Berkeley County, S Carolina | 1440 | Urban | 0.9245 | 0.9245 | 16700 | Urban | 0.9245 |
| 42080 | Calhoun County, S Carolina | 42 | Rural | 0.8631 | 0.9057 | 17900 | Urban | 0.8844 |
| 42090 | Charleston County, S Carolina | 1440 | Urban | 0.9245 | 0.9245 | 16700 | Urban | 0.9245 |
| 42100 | Cherokee County, S Carolina | 3160 | Urban | 0.9615 | 0.8638 | 99942 | Rural | 0.9127 |
| 42110 | Chester County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42120 | Chesterfield County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42130 | Clarendon County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42140 | Colleton County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42150 | Darlington County, S Carolina | 42 | Rural | 0.8631 | 0.8947 | 22500 | Urban | 0.8789 |
| 42160 | Dillon County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42170 | Dorchester County, S Carolina | 1440 | Urban | 0.9245 | 0.9245 | 16700 | Urban | 0.9245 |
| 42180 | Edgefield County, S Carolina | 0600 | Urban | 0.9808 | 0.9748 | 12260 | Urban | 0.9778 |
| 42190 | Fairfield County, S Carolina | 42 | Rural | 0.8631 | 0.9057 | 17900 | Urban | 0.8844 |
| 42200 | Florence County, S Carolina | 2655 | Urban | 0.9042 | 0.8947 | 22500 | Urban | 0.8995 |
| 42210 | Georgetown County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42220 | Greenville County, S Carolina | 3160 | Urban | 0.9615 | 1.0027 | 24860 | Urban | 0.9821 |
| 42230 | Greenwood County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42240 | Hampton County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42250 | Horry County, S Carolina | 5330 | Urban | 0.8934 | 0.8934 | 34820 | Urban | 0.8934 |
| 42260 | Jasper County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42270 | Kershaw County, S Carolina | 42 | Rural | 0.8631 | 0.9057 | 17900 | Urban | 0.8844 |
| 42280 | Lancaster County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42290 | Laurens County, S Carolina | 42 | Rural | 0.8631 | 1.0027 | 24860 | Urban | 0.9329 |
| 42300 | Lee County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42310 | Lexington County, S Carolina | 1760 | Urban | 0.9082 | 0.9057 | 17900 | Urban | 0.9070 |
| 42320 | Mc Cormick County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42330 | Marion County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42340 | Marlboro County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42350 | Newberry County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42360 | Oconee County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42370 | Orangeburg County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42380 | Pickens County, S Carolina | 3160 | Urban | 0.9615 | 1.0027 | 24860 | Urban | 0.9821 |
| 42390 | Richland County, S Carolina | 1760 | Urban | 0.9082 | 0.9057 | 17900 | Urban | 0.9070 |
| 42400 | Saluda County, S Carolina | 42 | Rural | 0.8631 | 0.9057 | 17900 | Urban | 0.8844 |
| 42410 | Spartanburg County, S Carolina | 3160 | Urban | 0.9615 | 0.9172 | 43900 | Urban | 0.9394 |
| 42420 | Sumter County, S Carolina | 8140 | Urban | 0.8377 | 0.8377 | 44940 | Urban | 0.8377 |
| 42430 | Union County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42440 | Williamsburg County, S Carolina | 42 | Rural | 0.8631 | 0.8638 | 99942 | Rural | 0.8635 |
| 42450 | York County, S Carolina | 1520 | Urban | 0.9715 | 0.9750 | 16740 | Urban | 0.9733 |
| 43010 | Aurora County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43020 | Beadle County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43030 | Bennett County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43040 | Bon Homme County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43050 | Brookings County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43060 | Brown County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43070 | Brule County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43080 | Buffalo County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43090 | Butte County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43100 | Campbell County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43110 | Charles Mix County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43120 | Clark County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43130 | Clay County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43140 | Codington County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43150 | Corson County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43160 | Custer County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43170 | Davison County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43180 | Day County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43190 | Deuel County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43200 | Dewey County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43210 | Douglas County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43220 | Edmunds County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43230 | Fall River County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43240 | Faulk County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43250 | Grant County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43260 | Gregory County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43270 | Haakon County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43280 | Hamlin County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43290 | Hand County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43300 | Hanson County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43310 | Harding County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43320 | Hughes County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43330 | Hutchinson County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43340 | Hyde County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43350 | Jackson County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43360 | Jerauld County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43370 | Jones County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43380 | Kingsbury County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43390 | Lake County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43400 | Lawrence County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43410 | Lincoln County, S Dakota | 7760 | Urban | 0.9635 | 0.9635 | 43620 | Urban | 0.9635 |
| 43420 | Lyman County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43430 | Mc Cook County, S Dakota | 43 | Rural | 0.8551 | 0.9635 | 43620 | Urban | 0.9093 |
| 43440 | Mc Pherson County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43450 | Marshall County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43460 | Meade County, S Dakota | 43 | Rural | 0.8551 | 0.8987 | 39660 | Urban | 0.8769 |
| 43470 | Mellette County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43480 | Miner County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43490 | Minnehaha County, S Dakota | 7760 | Urban | 0.9635 | 0.9635 | 43620 | Urban | 0.9635 |
| 43500 | Moody County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43510 | Pennington County, S Dakota | 6660 | Urban | 0.8987 | 0.8987 | 39660 | Urban | 0.8987 |
| 43520 | Perkins County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43530 | Potter County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43540 | Roberts County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43550 | Sanborn County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43560 | Shannon County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43570 | Spink County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43580 | Stanley County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43590 | Sully County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43600 | Todd County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43610 | Tripp County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43620 | Turner County, S Dakota | 43 | Rural | 0.8551 | 0.9635 | 43620 | Urban | 0.9093 |
| 43630 | Union County, S Dakota | 43 | Rural | 0.8551 | 0.9381 | 43580 | Urban | 0.8966 |
| 43640 | Walworth County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43650 | Washabaugh County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43670 | Yankton County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 43680 | Ziebach County, S Dakota | 43 | Rural | 0.8551 | 0.8560 | 99943 | Rural | 0.8556 |
| 44000 | Anderson County, Tennessee | 3840 | Urban | 0.8397 | 0.8441 | 28940 | Urban | 0.8419 |
| 44010 | Bedford County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44020 | Benton County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44030 | Bledsoe County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44040 | Blount County, Tennessee | 3840 | Urban | 0.8397 | 0.8441 | 28940 | Urban | 0.8419 |
| 44050 | Bradley County, Tennessee | 44 | Rural | 0.7935 | 0.8139 | 17420 | Urban | 0.8037 |
| 44060 | Campbell County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44070 | Cannon County, Tennessee | 44 | Rural | 0.7935 | 0.9741 | 34980 | Urban | 0.8838 |
| 44080 | Carroll County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44090 | Carter County, Tennessee | 3660 | Urban | 0.8007 | 0.7937 | 27740 | Urban | 0.7972 |
| 44100 | Cheatham County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 44110 | Chester County, Tennessee | 3580 | Urban | 0.8964 | 0.8964 | 27180 | Urban | 0.8964 |
| 44120 | Claiborne County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44130 | Clay County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44140 | Cocke County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44150 | Coffee County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44160 | Crockett County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44170 | Cumberland County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44180 | Davidson County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 44190 | Decatur County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44200 | De Kalb County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44210 | Dickson County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 44220 | Dyer County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44230 | Fayette County, Tennessee | 4920 | Urban | 0.9416 | 0.9397 | 32820 | Urban | 0.9407 |
| 44240 | Fentress County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44250 | Franklin County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44260 | Gibson County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44270 | Giles County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44280 | Grainger County, Tennessee | 44 | Rural | 0.7935 | 0.7961 | 34100 | Urban | 0.7948 |
| 44290 | Greene County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44300 | Grundy County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44310 | Hamblen County, Tennessee | 44 | Rural | 0.7935 | 0.7961 | 34100 | Urban | 0.7948 |
| 44320 | Hamilton County, Tennessee | 1560 | Urban | 0.9088 | 0.9088 | 16860 | Urban | 0.9088 |
| 44330 | Hancock County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44340 | Hardeman County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44350 | Hardin County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44360 | Hawkins County, Tennessee | 3660 | Urban | 0.8007 | 0.8054 | 28700 | Urban | 0.8031 |
| 44370 | Haywood County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44380 | Henderson County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44390 | Henry County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44400 | Hickman County, Tennessee | 44 | Rural | 0.7935 | 0.9741 | 34980 | Urban | 0.8838 |
| 44410 | Houston County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44420 | Humphreys County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44430 | Jackson County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44440 | Jefferson County, Tennessee | 44 | Rural | 0.7935 | 0.7961 | 34100 | Urban | 0.7948 |
| 44450 | Johnson County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44460 | Knox County, Tennessee | 3840 | Urban | 0.8397 | 0.8441 | 28940 | Urban | 0.8419 |
| 44470 | Lake County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44480 | Lauderdale County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44490 | Lawrence County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44500 | Lewis County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44510 | Lincoln County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44520 | Loudon County, Tennessee | 3840 | Urban | 0.8397 | 0.8441 | 28940 | Urban | 0.8419 |
| 44530 | Mc Minn County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44540 | Mc Nairy County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44550 | Macon County, Tennessee | 44 | Rural | 0.7935 | 0.9741 | 34980 | Urban | 0.8838 |
| 44560 | Madison County, Tennessee | 3580 | Urban | 0.8964 | 0.8964 | 27180 | Urban | 0.8964 |
| 44570 | Marion County, Tennessee | 1560 | Urban | 0.9088 | 0.9088 | 16860 | Urban | 0.9088 |
| 44580 | Marshall County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44590 | Maury County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44600 | Meigs County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44610 | Monroe County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44620 | Montgomery County, Tennessee | 1660 | Urban | 0.8284 | 0.8284 | 17300 | Urban | 0.8284 |
| 44630 | Moore County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44640 | Morgan County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44650 | Obion County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44660 | Overton County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44670 | Perry County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44680 | Pickett County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44690 | Polk County, Tennessee | 44 | Rural | 0.7935 | 0.8139 | 17420 | Urban | 0.8037 |
| 44700 | Putnam County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44710 | Rhea County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44720 | Roane County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44730 | Robertson County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 44740 | Rutherford County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 44750 | Scott County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44760 | Sequatchie County, Tennessee | 44 | Rural | 0.7935 | 0.9088 | 16860 | Urban | 0.8512 |
| 44770 | Sevier County, Tennessee | 3840 | Urban | 0.8397 | 0.7895 | 99944 | Rural | 0.8146 |
| 44780 | Shelby County, Tennessee | 4920 | Urban | 0.9416 | 0.9397 | 32820 | Urban | 0.9407 |
| 44790 | Smith County, Tennessee | 44 | Rural | 0.7935 | 0.9741 | 34980 | Urban | 0.8838 |
| 44800 | Stewart County, Tennessee | 44 | Rural | 0.7935 | 0.8284 | 17300 | Urban | 0.8110 |
| 44810 | Sullivan County, Tennessee | 3660 | Urban | 0.8007 | 0.8054 | 28700 | Urban | 0.8031 |
| 44820 | Sumner County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 44830 | Tipton County, Tennessee | 4920 | Urban | 0.9416 | 0.9397 | 32820 | Urban | 0.9407 |
| 44840 | Trousdale County, Tennessee | 44 | Rural | 0.7935 | 0.9741 | 34980 | Urban | 0.8838 |
| 44850 | Unicoi County, Tennessee | 3660 | Urban | 0.8007 | 0.7937 | 27740 | Urban | 0.7972 |
| 44860 | Union County, Tennessee | 3840 | Urban | 0.8397 | 0.8441 | 28940 | Urban | 0.8419 |
| 44870 | Van Buren County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44880 | Warren County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44890 | Washington County, Tennessee | 3660 | Urban | 0.8007 | 0.7937 | 27740 | Urban | 0.7972 |
| 44900 | Wayne County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44910 | Weakley County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44920 | White County, Tennessee | 44 | Rural | 0.7935 | 0.7895 | 99944 | Rural | 0.7915 |
| 44930 | Williamson County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 44940 | Wilson County, Tennessee | 5360 | Urban | 0.9760 | 0.9741 | 34980 | Urban | 0.9751 |
| 45000 | Anderson County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45010 | Andrews County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45020 | Angelina County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45030 | Aransas County, Texas | 45 | Rural | 0.7931 | 0.8550 | 18580 | Urban | 0.8241 |
| 45040 | Archer County, Texas | 9080 | Urban | 0.8365 | 0.8285 | 48660 | Urban | 0.8325 |
| 45050 | Armstrong County, Texas | 45 | Rural | 0.7931 | 0.9156 | 11100 | Urban | 0.8544 |
| 45060 | Atascosa County, Texas | 45 | Rural | 0.7931 | 0.8980 | 41700 | Urban | 0.8456 |
| 45070 | Austin County, Texas | 45 | Rural | 0.7931 | 0.9992 | 26420 | Urban | 0.8962 |
| 45080 | Bailey County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45090 | Bandera County, Texas | 45 | Rural | 0.7931 | 0.8980 | 41700 | Urban | 0.8456 |
| 45100 | Bastrop County, Texas | 0640 | Urban | 0.9437 | 0.9437 | 12420 | Urban | 0.9437 |
| 45110 | Baylor County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45113 | Bee County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45120 | Bell County, Texas | 3810 | Urban | 0.8526 | 0.8526 | 28660 | Urban | 0.8526 |
| 45130 | Bexar County, Texas | 7240 | Urban | 0.8984 | 0.8980 | 41700 | Urban | 0.8982 |
| 45140 | Blanco County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45150 | Borden County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45160 | Bosque County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45170 | Bowie County, Texas | 8360 | Urban | 0.8283 | 0.8283 | 45500 | Urban | 0.8283 |
| 45180 | Brazoria County, Texas | 1145 | Urban | 0.8563 | 0.9992 | 26420 | Urban | 0.9278 |
| 45190 | Brazos County, Texas | 1260 | Urban | 0.8900 | 0.8900 | 17780 | Urban | 0.8900 |
| 45200 | Brewster County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45201 | Briscoe County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45210 | Brooks County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45220 | Brown County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45221 | Burleson County, Texas | 45 | Rural | 0.7931 | 0.8900 | 17780 | Urban | 0.8416 |
| 45222 | Burnet County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45223 | Caldwell County, Texas | 0640 | Urban | 0.9437 | 0.9437 | 12420 | Urban | 0.9437 |
| 45224 | Calhoun County, Texas | 45 | Rural | 0.7931 | 0.8160 | 47020 | Urban | 0.8046 |
| 45230 | Callahan County, Texas | 45 | Rural | 0.7931 | 0.7896 | 10180 | Urban | 0.7914 |
| 45240 | Cameron County, Texas | 1240 | Urban | 0.9804 | 0.9804 | 15180 | Urban | 0.9804 |
| 45250 | Camp County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45251 | Carson County, Texas | 45 | Rural | 0.7931 | 0.9156 | 11100 | Urban | 0.8544 |
| 45260 | Cass County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45270 | Castro County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45280 | Chambers County, Texas | 3360 | Urban | 1.0088 | 0.9992 | 26420 | Urban | 1.0040 |
| 45281 | Cherokee County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45290 | Childress County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45291 | Clay County, Texas | 45 | Rural | 0.7931 | 0.8285 | 48660 | Urban | 0.8108 |
| 45292 | Cochran County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45300 | Coke County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45301 | Coleman County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45310 | Collin County, Texas | 1920 | Urban | 1.0205 | 1.0228 | 19124 | Urban | 1.0217 |
| 45311 | Collingsworth County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45312 | Colorado County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45320 | Comal County, Texas | 7240 | Urban | 0.8984 | 0.8980 | 41700 | Urban | 0.8982 |
| 45321 | Comanche County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45330 | Concho County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45340 | Cooke County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45341 | Coryell County, Texas | 3810 | Urban | 0.8526 | 0.8526 | 660 | Urban | 0.8526 |
| 45350 | Cottle County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45360 | Crane County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45361 | Crockett County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45362 | Crosby County, Texas | 45 | Rural | 0.7931 | 0.8783 | 31180 | Urban | 0.8357 |
| 45370 | Culberson County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45380 | Dallam County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45390 | Dallas County, Texas | 1920 | Urban | 1.0205 | 1.0228 | 19124 | Urban | 1.0217 |
| 45391 | Dawson County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45392 | Deaf Smith County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45400 | Delta County, Texas | 45 | Rural | 0.7931 | 1.0228 | 19124 | Urban | 0.9080 |
| 45410 | Denton County, Texas | 1920 | Urban | 1.0205 | 1.0228 | 19124 | Urban | 1.0217 |
| 45420 | De Witt County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45421 | Dickens County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45430 | Dimmit County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45431 | Donley County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45440 | Duval County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45450 | Eastland County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45451 | Ector County, Texas | 5800 | Urban | 0.9741 | 0.9884 | 36220 | Urban | 0.9813 |
| 45460 | Edwards County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45470 | Ellis County, Texas | 1920 | Urban | 1.0205 | 1.0228 | 19124 | Urban | 1.0217 |
| 45480 | El Paso County, Texas | 2320 | Urban | 0.8977 | 0.8977 | 21340 | Urban | 0.8977 |
| 45490 | Erath County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45500 | Falls County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45510 | Fannin County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45511 | Fayette County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45520 | Fisher County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45521 | Floyd County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45522 | Foard County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45530 | Fort Bend County, Texas | 3360 | Urban | 1.0088 | 0.9992 | 26420 | Urban | 1.0040 |
| 45531 | Franklin County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45540 | Freestone County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45541 | Frio County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45542 | Gaines County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45550 | Galveston County, Texas | 2920 | Urban | 0.9635 | 0.9992 | 26420 | Urban | 0.9814 |
| 45551 | Garza County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45552 | Gillespie County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45560 | Glasscock County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45561 | Goliad County, Texas | 45 | Rural | 0.7931 | 0.8160 | 47020 | Urban | 0.8046 |
| 45562 | Gonzales County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45563 | Gray County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45564 | Grayson County, Texas | 7640 | Urban | 0.9507 | 0.9507 | 43300 | Urban | 0.9507 |
| 45570 | Gregg County, Texas | 4420 | Urban | 0.8888 | 0.8730 | 30980 | Urban | 0.8809 |
| 45580 | Grimes County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45581 | Guadaloupe County, Texas | 7240 | Urban | 0.8984 | 0.8980 | 41700 | Urban | 0.8982 |
| 45582 | Hale County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45583 | Hall County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45590 | Hamilton County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45591 | Hansford County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45592 | Hardeman County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45600 | Hardin County, Texas | 0840 | Urban | 0.8412 | 0.8412 | 13140 | Urban | 0.8412 |
| 45610 | Harris County, Texas | 3360 | Urban | 1.0088 | 0.9992 | 26420 | Urban | 1.0040 |
| 45620 | Harrison County, Texas | 4420 | Urban | 0.8888 | 0.8003 | 99945 | Rural | 0.8446 |
| 45621 | Hartley County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45630 | Haskell County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45631 | Hays County, Texas | 0640 | Urban | 0.9437 | 0.9437 | 12420 | Urban | 0.9437 |
| 45632 | Hemphill County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45640 | Henderson County, Texas | 1920 | Urban | 1.0205 | 0.8003 | 99945 | Rural | 0.9104 |
| 45650 | Hidalgo County, Texas | 4880 | Urban | 0.8934 | 0.8934 | 32580 | Urban | 0.8934 |
| 45651 | Hill County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45652 | Hockley County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45653 | Hood County, Texas | 2800 | Urban | 0.9522 | 0.8003 | 99945 | Rural | 0.8763 |
| 45654 | Hopkins County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45660 | Houston County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45661 | Howard County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45662 | Hudspeth County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45670 | Hunt County, Texas | 1920 | Urban | 1.0205 | 1.0228 | 19124 | Urban | 1.0217 |
| 45671 | Hutchinson County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45672 | Irion County, Texas | 45 | Rural | 0.7931 | 0.8271 | 41660 | Urban | 0.8101 |
| 45680 | Jack County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45681 | Jackson County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45690 | Jasper County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45691 | Jeff Davis County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45700 | Jefferson County, Texas | 0840 | Urban | 0.8412 | 0.8412 | 13140 | Urban | 0.8412 |
| 45710 | Jim Hogg County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45711 | Jim Wells County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45720 | Johnson County, Texas | 2800 | Urban | 0.9522 | 0.9486 | 23104 | Urban | 0.9504 |
| 45721 | Jones County, Texas | 45 | Rural | 0.7931 | 0.7896 | 10180 | Urban | 0.7914 |
| 45722 | Karnes County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45730 | Kaufman County, Texas | 1920 | Urban | 1.0205 | 1.0228 | 19124 | Urban | 1.0217 |
| 45731 | Kendall County, Texas | 45 | Rural | 0.7931 | 0.8980 | 41700 | Urban | 0.8456 |
| 45732 | Kenedy County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45733 | Kent County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45734 | Kerr County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45740 | Kimble County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45741 | King County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45742 | Kinney County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45743 | Kleberg County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45744 | Knox County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45750 | Lamar County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45751 | Lamb County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45752 | Lampasas County, Texas | 45 | Rural | 0.7931 | 0.8526 | 28660 | Urban | 0.8229 |
| 45753 | La Salle County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45754 | Lavaca County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45755 | Lee County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45756 | Leon County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45757 | Liberty County, Texas | 3360 | Urban | 1.0088 | 0.9992 | 26420 | Urban | 1.0040 |
| 45758 | Limestone County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45759 | Lipscomb County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45760 | Live Oak County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45761 | Llano County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45762 | Loving County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45770 | Lubbock County, Texas | 4600 | Urban | 0.8783 | 0.8783 | 31180 | Urban | 0.8783 |
| 45771 | Lynn County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45772 | Mc Culloch County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45780 | Mc Lennan County, Texas | 8800 | Urban | 0.8518 | 0.8518 | 47380 | Urban | 0.8518 |
| 45781 | Mc Mullen County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45782 | Madison County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45783 | Marion County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45784 | Martin County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45785 | Mason County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45790 | Matagorda County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45791 | Maverick County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45792 | Medina County, Texas | 45 | Rural | 0.7931 | 0.8980 | 41700 | Urban | 0.8456 |
| 45793 | Menard County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45794 | Midland County, Texas | 5800 | Urban | 0.9741 | 0.9514 | 33260 | Urban | 0.9628 |
| 45795 | Milam County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45796 | Mills County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45797 | Mitchell County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45800 | Montague County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45801 | Montgomery County, Texas | 3360 | Urban | 1.0088 | 0.9992 | 26420 | Urban | 1.0040 |
| 45802 | Moore County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45803 | Morris County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45804 | Motley County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45810 | Nacogdoches County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45820 | Navarro County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45821 | Newton County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45822 | Nolan County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45830 | Nueces County, Texas | 1880 | Urban | 0.8550 | 0.8550 | 18580 | Urban | 0.8550 |
| 45831 | Ochiltree County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45832 | Oldham County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45840 | Orange County, Texas | 0840 | Urban | 0.8412 | 0.8412 | 13140 | Urban | 0.8412 |
| 45841 | Palo Pinto County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45842 | Panola County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45843 | Parker County, Texas | 2800 | Urban | 0.9522 | 0.9486 | 23104 | Urban | 0.9504 |
| 45844 | Parmer County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45845 | Pecos County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45850 | Polk County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45860 | Potter County, Texas | 0320 | Urban | 0.9156 | 0.9156 | 11100 | Urban | 0.9156 |
| 45861 | Presidio County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45870 | Rains County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45871 | Randall County, Texas | 0320 | Urban | 0.9156 | 0.9156 | 11100 | Urban | 0.9156 |
| 45872 | Reagan County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45873 | Real County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45874 | Red River County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45875 | Reeves County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45876 | Refugio County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45877 | Roberts County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45878 | Robertson County, Texas | 45 | Rural | 0.7931 | 0.8900 | 17780 | Urban | 0.8416 |
| 45879 | Rockwall County, Texas | 1920 | Urban | 1.0205 | 1.0228 | 19124 | Urban | 1.0217 |
| 45880 | Runnels County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45881 | Rusk County, Texas | 45 | Rural | 0.7931 | 0.8730 | 30980 | Urban | 0.8331 |
| 45882 | Sabine County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45883 | San Augustine County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45884 | San Jacinto County, Texas | 45 | Rural | 0.7931 | 0.9992 | 26420 | Urban | 0.8962 |
| 45885 | San Patricio County, Texas | 1880 | Urban | 0.8550 | 0.8550 | 18580 | Urban | 0.8550 |
| 45886 | San Saba County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45887 | Schleicher County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45888 | Scurry County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45889 | Shackelford County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45890 | Shelby County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45891 | Sherman County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45892 | Smith County, Texas | 8640 | Urban | 0.9168 | 0.9168 | 46340 | Urban | 0.9168 |
| 45893 | Somervell County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45900 | Starr County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45901 | Stephens County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45902 | Sterling County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45903 | Stonewall County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45904 | Sutton County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45905 | Swisher County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45910 | Tarrant County, Texas | 2800 | Urban | 0.9522 | 0.9486 | 23104 | Urban | 0.9504 |
| 45911 | Taylor County, Texas | 0040 | Urban | 0.8054 | 0.7896 | 10180 | Urban | 0.7975 |
| 45912 | Terrell County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45913 | Terry County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45920 | Throckmorton County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45921 | Titus County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45930 | Tom Green County, Texas | 7200 | Urban | 0.8271 | 0.8271 | 41660 | Urban | 0.8271 |
| 45940 | Travis County, Texas | 0640 | Urban | 0.9437 | 0.9437 | 12420 | Urban | 0.9437 |
| 45941 | Trinity County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45942 | Tyler County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45943 | Upshur County, Texas | 4420 | Urban | 0.8888 | 0.8730 | 30980 | Urban | 0.8809 |
| 45944 | Upton County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45945 | Uvalde County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45946 | Val Verde County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45947 | Van Zandt County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45948 | Victoria County, Texas | 8750 | Urban | 0.8160 | 0.8160 | 47020 | Urban | 0.8160 |
| 45949 | Walker County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45950 | Waller County, Texas | 3360 | Urban | 1.0088 | 0.9992 | 26420 | Urban | 1.0040 |
| 45951 | Ward County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45952 | Washington County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45953 | Webb County, Texas | 4080 | Urban | 0.8068 | 0.8068 | 29700 | Urban | 0.8068 |
| 45954 | Wharton County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45955 | Wheeler County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45960 | Wichita County, Texas | 9080 | Urban | 0.8365 | 0.8285 | 48660 | Urban | 0.8325 |
| 45961 | Wilbarger County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45962 | Willacy County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45970 | Williamson County, Texas | 0640 | Urban | 0.9437 | 0.9437 | 12420 | Urban | 0.9437 |
| 45971 | Wilson County, Texas | 7240 | Urban | 0.8984 | 0.8980 | 41700 | Urban | 0.8982 |
| 45972 | Winkler County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45973 | Wise County, Texas | 45 | Rural | 0.7931 | 0.9486 | 23104 | Urban | 0.8709 |
| 45974 | Wood County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45980 | Yoakum County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45981 | Young County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45982 | Zapata County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 45983 | Zavala County, Texas | 45 | Rural | 0.7931 | 0.8003 | 99945 | Rural | 0.7967 |
| 46000 | Beaver County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46010 | Box Elder County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46020 | Cache County, Utah | 46 | Rural | 0.8762 | 0.9164 | 30860 | Urban | 0.8963 |
| 46030 | Carbon County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46040 | Daggett County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46050 | Davis County, Utah | 7160 | Urban | 0.9340 | 0.9029 | 36260 | Urban | 0.9185 |
| 46060 | Duchesne County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46070 | Emery County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46080 | Garfield County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46090 | Grand County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46100 | Iron County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46110 | Juab County, Utah | 46 | Rural | 0.8762 | 0.9500 | 39340 | Urban | 0.9131 |
| 46120 | Kane County, Utah | 2620 | Urban | 1.1845 | 0.8118 | 99946 | Rural | 0.9982 |
| 46130 | Millard County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46140 | Morgan County, Utah | 46 | Rural | 0.8762 | 0.9029 | 36260 | Urban | 0.8896 |
| 46150 | Piute County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46160 | Rich County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46170 | Salt Lake County, Utah | 7160 | Urban | 0.9340 | 0.9421 | 41620 | Urban | 0.9381 |
| 46180 | San Juan County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46190 | Sanpete County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46200 | Sevier County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46210 | Summit County, Utah | 46 | Rural | 0.8762 | 0.9421 | 41620 | Urban | 0.9092 |
| 46220 | Tooele County, Utah | 46 | Rural | 0.8762 | 0.9421 | 41620 | Urban | 0.9092 |
| 46230 | Uintah County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46240 | Utah County, Utah | 6520 | Urban | 0.9500 | 0.9500 | 39340 | Urban | 0.9500 |
| 46250 | Wasatch County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46260 | Washington County, Utah | 46 | Rural | 0.8762 | 0.9392 | 41100 | Urban | 0.9077 |
| 46270 | Wayne County, Utah | 46 | Rural | 0.8762 | 0.8118 | 99946 | Rural | 0.8440 |
| 46280 | Weber County, Utah | 7160 | Urban | 0.9340 | 0.9029 | 36260 | Urban | 0.9185 |
| 47000 | Addison County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47010 | Bennington County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47020 | Caledonia County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47030 | Chittenden County, Vermont | 1303 | Urban | 0.9410 | 0.9410 | 15540 | Urban | 0.9410 |
| 47040 | Essex County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47050 | Franklin County, Vermont | 1303 | Urban | 0.9410 | 0.9410 | 15540 | Urban | 0.9410 |
| 47060 | Grand Isle County, Vermont | 1303 | Urban | 0.9410 | 0.9410 | 15540 | Urban | 0.9410 |
| 47070 | Lamoille County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47080 | Orange County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47090 | Orleans County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47100 | Rutland County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47110 | Washington County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47120 | Windham County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 47130 | Windsor County, Vermont | 47 | Rural | 0.9830 | 0.9830 | 99947 | Rural | 0.9830 |
| 48010 | St Croix County, Virgin Islands | 48 | Rural | 0.7615 | 0.7615 | 99948 | Rural | 0.7615 |
| 48020 | St Thomas-John County, Virgin Islands | 48 | Rural | 0.7615 | 0.7615 | 99948 | Rural | 0.7615 |
| 49000 | Accomack County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49010 | Albemarle County, Virginia | 1540 | Urban | 1.0187 | 1.0187 | 16820 | Urban | 1.0187 |
| 49011 | Alexandria City County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49020 | Alleghany County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49030 | Amelia County, Virginia | 49 | Rural | 0.8417 | 0.9328 | 40060 | Urban | 0.8873 |
| 49040 | Amherst County, Virginia | 4640 | Urban | 0.8691 | 0.8691 | 31340 | Urban | 0.8691 |
| 49050 | Appomattox County, Virginia | 49 | Rural | 0.8417 | 0.8691 | 31340 | Urban | 0.8554 |
| 49060 | Arlington County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49070 | Augusta County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49080 | Bath County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49088 | Bedford City County, Virginia | 4640 | Urban | 0.8691 | 0.8691 | 31340 | Urban | 0.8691 |
| 49090 | Bedford County, Virginia | 4640 | Urban | 0.8691 | 0.8691 | 31340 | Urban | 0.8691 |
| 49100 | Bland County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49110 | Botetourt County, Virginia | 6800 | Urban | 0.8387 | 0.8374 | 40220 | Urban | 0.8381 |
| 49111 | Bristol City County, Virginia | 3660 | Urban | 0.8007 | 0.8054 | 28700 | Urban | 0.8031 |
| 49120 | Brunswick County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49130 | Buchanan County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49140 | Buckingham County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49141 | Buena Vista City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49150 | Campbell County, Virginia | 4640 | Urban | 0.8691 | 0.8691 | 31340 | Urban | 0.8691 |
| 49160 | Caroline County, Virginia | 49 | Rural | 0.8417 | 0.9328 | 40060 | Urban | 0.8873 |
| 49170 | Carroll County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49180 | Charles City County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49190 | Charlotte County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49191 | Charlottesville City County, Virginia | 1540 | Urban | 1.0187 | 1.0187 | 16820 | Urban | 1.0187 |
| 49194 | Chesapeake County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49200 | Chesterfield County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49210 | Clarke County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49211 | Clifton Forge City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49212 | Colonial Heights County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49213 | Covington City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49220 | Craig County, Virginia | 49 | Rural | 0.8417 | 0.8374 | 40220 | Urban | 0.8396 |
| 49230 | Culpeper County, Virginia | 8840 | Urban | 1.0976 | 0.8013 | 99949 | Rural | 0.9495 |
| 49240 | Cumberland County, Virginia | 49 | Rural | 0.8417 | 0.9328 | 40060 | Urban | 0.8873 |
| 49241 | Danville City County, Virginia | 1950 | Urban | 0.8489 | 0.8489 | 19260 | Urban | 0.8489 |
| 49250 | Dickenson County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49260 | Dinniddie County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49270 | Emporia County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49280 | Essex County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49288 | Fairfax City County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49290 | Fairfax County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49291 | Falls Church City County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49300 | Fauquier County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49310 | Floyd County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49320 | Fluvanna County, Virginia | 1540 | Urban | 1.0187 | 1.0187 | 16820 | Urban | 1.0187 |
| 49328 | Franklin City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49330 | Franklin County, Virginia | 49 | Rural | 0.8417 | 0.8374 | 40220 | Urban | 0.8396 |
| 49340 | Frederick County, Virginia | 49 | Rural | 0.8417 | 1.0214 | 49020 | Urban | 0.9316 |
| 49342 | Fredericksburg City County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49343 | Galax City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49350 | Giles County, Virginia | 49 | Rural | 0.8417 | 0.7954 | 13980 | Urban | 0.8186 |
| 49360 | Gloucester County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49370 | Goochland County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49380 | Grayson County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49390 | Greene County, Virginia | 1540 | Urban | 1.0187 | 1.0187 | 16820 | Urban | 1.0187 |
| 49400 | Greensville County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49410 | Halifax County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49411 | Hampton City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49420 | Hanover County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49421 | Harrisonburg City County, Virginia | 49 | Rural | 0.8417 | 0.9088 | 25500 | Urban | 0.8753 |
| 49430 | Henrico County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49440 | Henry County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49450 | Highland County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49451 | Hopewell City County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49460 | Isle Of Wight County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49470 | James City Co County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49480 | King And Queen County, Virginia | 49 | Rural | 0.8417 | 0.9328 | 40060 | Urban | 0.8873 |
| 49490 | King George County, Virginia | 8840 | Urban | 1.0976 | 0.8013 | 99949 | Rural | 0.9495 |
| 49500 | King William County, Virginia | 49 | Rural | 0.8417 | 0.9328 | 40060 | Urban | 0.8873 |
| 49510 | Lancaster County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49520 | Lee County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49522 | Lexington County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49530 | Loudoun County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49540 | Louisa County, Virginia | 49 | Rural | 0.8417 | 0.9328 | 40060 | Urban | 0.8873 |
| 49550 | Lunenburg County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49551 | Lynchburg City County, Virginia | 4640 | Urban | 0.8691 | 0.8691 | 31340 | Urban | 0.8691 |
| 49560 | Madison County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49561 | Martinsville City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49563 | Manassas City County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49565 | Manassas Park City County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49570 | Mathews County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49580 | Mecklenburg County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49590 | Middlesex County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49600 | Montgomery County, Virginia | 49 | Rural | 0.8417 | 0.7954 | 13980 | Urban | 0.8186 |
| 49610 | Nansemond County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49620 | Nelson County, Virginia | 49 | Rural | 0.8417 | 1.0187 | 16820 | Urban | 0.9302 |
| 49621 | New Kent County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49622 | Newport News City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49641 | Norfolk City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49650 | Northampton County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49660 | Northumberland County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49661 | Norton City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49670 | Nottoway County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49680 | Orange County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49690 | Page County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49700 | Patrick County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49701 | Petersburg City County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49710 | Pittsylvania County, Virginia | 1950 | Urban | 0.8489 | 0.8489 | 19260 | Urban | 0.8489 |
| 49711 | Portsmouth City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49712 | Poquoson City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49720 | Powhatan County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49730 | Prince Edward County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49740 | Prince George County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49750 | Prince William County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49770 | Pulaski County, Virginia | 49 | Rural | 0.8417 | 0.7954 | 13980 | Urban | 0.8186 |
| 49771 | Radford City County, Virginia | 49 | Rural | 0.8417 | 0.7954 | 13980 | Urban | 0.8186 |
| 49780 | Rappahannock County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49790 | Richmond County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49791 | Richmond City County, Virginia | 6760 | Urban | 0.9328 | 0.9328 | 40060 | Urban | 0.9328 |
| 49800 | Roanoke County, Virginia | 6800 | Urban | 0.8387 | 0.8374 | 40220 | Urban | 0.8381 |
| 49801 | Roanoke City County, Virginia | 6800 | Urban | 0.8387 | 0.8374 | 40220 | Urban | 0.8381 |
| 49810 | Rockbridge County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49820 | Rockingham County, Virginia | 49 | Rural | 0.8417 | 0.9088 | 25500 | Urban | 0.8753 |
| 49830 | Russell County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49838 | Salem County, Virginia | 6800 | Urban | 0.8387 | 0.8374 | 40220 | Urban | 0.8381 |
| 49840 | Scott County, Virginia | 3660 | Urban | 0.8007 | 0.8054 | 28700 | Urban | 0.8031 |
| 49850 | Shenandoah County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49860 | Smyth County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49867 | South Boston City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49870 | Southampton County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49880 | Spotsylvania County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49890 | Stafford County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49891 | Staunton City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49892 | Suffolk City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49900 | Surry County, Virginia | 49 | Rural | 0.8417 | 0.8799 | 47260 | Urban | 0.8608 |
| 49910 | Sussex County, Virginia | 49 | Rural | 0.8417 | 0.9328 | 40060 | Urban | 0.8873 |
| 49920 | Tazewell County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49921 | Virginia Beach City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49930 | Warren County, Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 49950 | Washington County, Virginia | 3660 | Urban | 0.8007 | 0.8054 | 28700 | Urban | 0.8031 |
| 49951 | Waynesboro City County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49960 | Westmoreland County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49961 | Williamsburg City County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 49962 | Winchester City County, Virginia | 49 | Rural | 0.8417 | 1.0214 | 49020 | Urban | 0.9316 |
| 49970 | Wise County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49980 | Wythe County, Virginia | 49 | Rural | 0.8417 | 0.8013 | 99949 | Rural | 0.8215 |
| 49981 | York County, Virginia | 5720 | Urban | 0.8799 | 0.8799 | 47260 | Urban | 0.8799 |
| 50000 | Adams County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50010 | Asotin County, Washington | 50 | Rural | 1.0217 | 0.9886 | 30300 | Urban | 1.0052 |
| 50020 | Benton County, Washington | 6740 | Urban | 1.0619 | 1.0619 | 28420 | Urban | 1.0619 |
| 50030 | Chelan County, Washington | 50 | Rural | 1.0217 | 1.0070 | 48300 | Urban | 1.0144 |
| 50040 | Clallam County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50050 | Clark County, Washington | 6440 | Urban | 1.1266 | 1.1266 | 38900 | Urban | 1.1266 |
| 50060 | Columbia County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50070 | Cowlitz County, Washington | 50 | Rural | 1.0217 | 0.9579 | 31020 | Urban | 0.9898 |
| 50080 | Douglas County, Washington | 50 | Rural | 1.0217 | 1.0070 | 48300 | Urban | 1.0144 |
| 50090 | Ferry County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50100 | Franklin County, Washington | 6740 | Urban | 1.0619 | 1.0619 | 28420 | Urban | 1.0619 |
| 50110 | Garfield County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50120 | Grant County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50130 | Grays Harbor County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50140 | Island County, Washington | 7600 | Urban | 1.1567 | 1.0510 | 99950 | Rural | 1.1039 |
| 50150 | Jefferson County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50160 | King County, Washington | 7600 | Urban | 1.1567 | 1.1577 | 42644 | Urban | 1.1572 |
| 50170 | Kitsap County, Washington | 1150 | Urban | 1.0675 | 1.0675 | 14740 | Urban | 1.0675 |
| 50180 | Kittitas County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50190 | Klickitat County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50200 | Lewis County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50210 | Lincoln County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50220 | Mason County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50230 | Okanogan County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50240 | Pacific County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50250 | Pend Oreille County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50260 | Pierce County, Washington | 8200 | Urban | 1.0742 | 1.0742 | 45104 | Urban | 1.0742 |
| 50270 | San Juan County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50280 | Skagit County, Washington | 50 | Rural | 1.0217 | 1.0454 | 34580 | Urban | 1.0336 |
| 50290 | Skamania County, Washington | 50 | Rural | 1.0217 | 1.1266 | 38900 | Urban | 1.0742 |
| 50300 | Snohomish County, Washington | 7600 | Urban | 1.1567 | 1.1577 | 42644 | Urban | 1.1572 |
| 50310 | Spokane County, Washington | 7840 | Urban | 1.0905 | 1.0905 | 44060 | Urban | 1.0905 |
| 50320 | Stevens County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50330 | Thurston County, Washington | 5910 | Urban | 1.0927 | 1.0927 | 36500 | Urban | 1.0927 |
| 50340 | Wahkiakum County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50350 | Walla Walla County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50360 | Whatcom County, Washington | 0860 | Urban | 1.1731 | 1.1731 | 13380 | Urban | 1.1731 |
| 50370 | Whitman County, Washington | 50 | Rural | 1.0217 | 1.0510 | 99950 | Rural | 1.0364 |
| 50380 | Yakima County, Washington | 9260 | Urban | 1.0155 | 1.0155 | 49420 | Urban | 1.0155 |
| 51000 | Barbour County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51010 | Berkeley County, W Virginia | 8840 | Urban | 1.0976 | 0.9489 | 25180 | Urban | 1.0233 |
| 51020 | Boone County, W Virginia | 51 | Rural | 0.7900 | 0.8445 | 16620 | Urban | 0.8173 |
| 51030 | Braxton County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51040 | Brooke County, W Virginia | 8080 | Urban | 0.7819 | 0.7819 | 48260 | Urban | 0.7819 |
| 51050 | Cabell County, W Virginia | 3400 | Urban | 0.9477 | 0.9477 | 26580 | Urban | 0.9477 |
| 51060 | Calhoun County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51070 | Clay County, W Virginia | 51 | Rural | 0.7900 | 0.8445 | 16620 | Urban | 0.8173 |
| 51080 | Doddridge County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51090 | Fayette County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51100 | Gilmer County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51110 | Grant County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51120 | Greenbrier County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51130 | Hampshire County, W Virginia | 51 | Rural | 0.7900 | 1.0214 | 49020 | Urban | 0.9057 |
| 51140 | Hancock County, W Virginia | 8080 | Urban | 0.7819 | 0.7819 | 48260 | Urban | 0.7819 |
| 51150 | Hardy County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51160 | Harrison County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51170 | Jackson County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51180 | Jefferson County, W Virginia | 8840 | Urban | 1.0976 | 1.0926 | 47894 | Urban | 1.0951 |
| 51190 | Kanawha County, W Virginia | 1480 | Urban | 0.8445 | 0.8445 | 16620 | Urban | 0.8445 |
| 51200 | Lewis County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51210 | Lincoln County, W Virginia | 51 | Rural | 0.7900 | 0.8445 | 16620 | Urban | 0.8173 |
| 51220 | Logan County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51230 | Mc Dowell County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51240 | Marion County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51250 | Marshall County, W Virginia | 9000 | Urban | 0.7161 | 0.7161 | 48540 | Urban | 0.7161 |
| 51260 | Mason County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51270 | Mercer County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51280 | Mineral County, W Virginia | 1900 | Urban | 0.9317 | 0.9317 | 19060 | Urban | 0.9317 |
| 51290 | Mingo County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51300 | Monongalia County, W Virginia | 51 | Rural | 0.7900 | 0.8420 | 34060 | Urban | 0.8160 |
| 51310 | Monroe County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51320 | Morgan County, W Virginia | 51 | Rural | 0.7900 | 0.9489 | 25180 | Urban | 0.8695 |
| 51330 | Nicholas County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51340 | Ohio County, W Virginia | 9000 | Urban | 0.7161 | 0.7161 | 48540 | Urban | 0.7161 |
| 51350 | Pendleton County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51360 | Pleasants County, W Virginia | 51 | Rural | 0.7900 | 0.8270 | 37620 | Urban | 0.8085 |
| 51370 | Pocahontas County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51380 | Preston County, W Virginia | 51 | Rural | 0.7900 | 0.8420 | 34060 | Urban | 0.8160 |
| 51390 | Putnam County, W Virginia | 1480 | Urban | 0.8445 | 0.8445 | 16620 | Urban | 0.8445 |
| 51400 | Raleigh County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51410 | Randolph County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51420 | Ritchie County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51430 | Roane County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51440 | Summers County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51450 | Taylor County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51460 | Tucker County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51470 | Tyler County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51480 | Upshur County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51490 | Wayne County, W Virginia | 3400 | Urban | 0.9477 | 0.9477 | 26580 | Urban | 0.9477 |
| 51500 | Webster County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51510 | Wetzel County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 51520 | Wirt County, W Virginia | 51 | Rural | 0.7900 | 0.8270 | 37620 | Urban | 0.8085 |
| 51530 | Wood County, W Virginia | 6020 | Urban | 0.8270 | 0.8270 | 37620 | Urban | 0.8270 |
| 51540 | Wyoming County, W Virginia | 51 | Rural | 0.7900 | 0.7717 | 99951 | Rural | 0.7809 |
| 52000 | Adams County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52010 | Ashland County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52020 | Barron County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52030 | Bayfield County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52040 | Brown County, Wisconsin | 3080 | Urban | 0.9483 | 0.9483 | 24580 | Urban | 0.9483 |
| 52050 | Buffalo County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52060 | Burnett County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52070 | Calumet County, Wisconsin | 0460 | Urban | 0.9239 | 0.9288 | 11540 | Urban | 0.9264 |
| 52080 | Chippewa County, Wisconsin | 2290 | Urban | 0.9201 | 0.9201 | 20740 | Urban | 0.9201 |
| 52090 | Clark County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52100 | Columbia County, Wisconsin | 52 | Rural | 0.9478 | 1.0659 | 31540 | Urban | 1.0069 |
| 52110 | Crawford County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52120 | Dane County, Wisconsin | 4720 | Urban | 1.0754 | 1.0659 | 31540 | Urban | 1.0707 |
| 52130 | Dodge County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52140 | Door County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52150 | Douglas County, Wisconsin | 2240 | Urban | 1.0213 | 1.0213 | 20260 | Urban | 1.0213 |
| 52160 | Dunn County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52170 | Eau Claire County, Wisconsin | 2290 | Urban | 0.9201 | 0.9201 | 20740 | Urban | 0.9201 |
| 52180 | Florence County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52190 | Fond Du Lac County, Wisconsin | 52 | Rural | 0.9478 | 0.9640 | 22540 | Urban | 0.9559 |
| 52200 | Forest County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52210 | Grant County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52220 | Green County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52230 | Green Lake County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52240 | Iowa County, Wisconsin | 52 | Rural | 0.9478 | 1.0659 | 31540 | Urban | 1.0069 |
| 52250 | Iron County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52260 | Jackson County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52270 | Jefferson County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52280 | Juneau County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52290 | Kenosha County, Wisconsin | 3800 | Urban | 0.9760 | 1.0429 | 29404 | Urban | 1.0095 |
| 52300 | Kewaunee County, Wisconsin | 52 | Rural | 0.9478 | 0.9483 | 24580 | Urban | 0.9481 |
| 52310 | La Crosse County, Wisconsin | 3870 | Urban | 0.9564 | 0.9564 | 29100 | Urban | 0.9564 |
| 52320 | Lafayette County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52330 | Langlade County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52340 | Lincoln County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52350 | Manitowoc County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52360 | Marathon County, Wisconsin | 8940 | Urban | 0.9590 | 0.9590 | 48140 | Urban | 0.9590 |
| 52370 | Marinette County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52380 | Marquette County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52381 | Menominee County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52390 | Milwaukee County, Wisconsin | 5080 | Urban | 1.0146 | 1.0146 | 33340 | Urban | 1.0146 |
| 52400 | Monroe County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52410 | Oconto County, Wisconsin | 52 | Rural | 0.9478 | 0.9483 | 24580 | Urban | 0.9481 |
| 52420 | Oneida County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52430 | Outagamie County, Wisconsin | 0460 | Urban | 0.9239 | 0.9288 | 11540 | Urban | 0.9264 |
| 52440 | Ozaukee County, Wisconsin | 5080 | Urban | 1.0146 | 1.0146 | 33340 | Urban | 1.0146 |
| 52450 | Pepin County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52460 | Pierce County, Wisconsin | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 52470 | Polk County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52480 | Portage County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52490 | Price County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52500 | Racine County, Wisconsin | 6600 | Urban | 0.8997 | 0.8997 | 39540 | Urban | 0.8997 |
| 52510 | Richland County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52520 | Rock County, Wisconsin | 3620 | Urban | 0.9538 | 0.9538 | 27500 | Urban | 0.9538 |
| 52530 | Rusk County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52540 | St Croix County, Wisconsin | 5120 | Urban | 1.1075 | 1.1075 | 33460 | Urban | 1.1075 |
| 52550 | Sauk County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52560 | Sawyer County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52570 | Shawano County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52580 | Sheboygan County, Wisconsin | 7620 | Urban | 0.8911 | 0.8911 | 43100 | Urban | 0.8911 |
| 52590 | Taylor County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52600 | Trempealeau County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52610 | Vernon County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52620 | Vilas County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52630 | Walworth County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52640 | Washburn County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52650 | Washington County, Wisconsin | 5080 | Urban | 1.0146 | 1.0146 | 33340 | Urban | 1.0146 |
| 52660 | Waukesha County, Wisconsin | 5080 | Urban | 1.0146 | 1.0146 | 33340 | Urban | 1.0146 |
| 52670 | Waupaca County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52680 | Waushara County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 52690 | Winnebago County, Wisconsin | 0460 | Urban | 0.9239 | 0.9183 | 36780 | Urban | 0.9211 |
| 52700 | Wood County, Wisconsin | 52 | Rural | 0.9478 | 0.9509 | 99952 | Rural | 0.9494 |
| 53000 | Albany County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53010 | Big Horn County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53020 | Campbell County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53030 | Carbon County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53040 | Converse County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53050 | Crook County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53060 | Fremont County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53070 | Goshen County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53080 | Hot Springs County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53090 | Johnson County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53100 | Laramie County, Wyoming | 1580 | Urban | 0.8775 | 0.8775 | 16940 | Urban | 0.8775 |
| 53110 | Lincoln County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53120 | Natrona County, Wyoming | 1350 | Urban | 0.9026 | 0.9026 | 16220 | Urban | 0.9026 |
| 53130 | Niobrara County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53140 | Park County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53150 | Platte County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53160 | Sheridan County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53170 | Sublette County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53180 | Sweetwater County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53190 | Teton County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53200 | Uinta County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53210 | Washakie County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 53220 | Weston County, Wyoming | 53 | Rural | 0.9257 | 0.9257 | 99953 | Rural | 0.9257 |
| 65010 | Agana County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65020 | Agana Heights County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65030 | Agat County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65040 | Asan County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65050 | Barrigada County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65060 | Chalan Pago County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65070 | Dededo County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65080 | Inarajan County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65090 | Maite County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65100 | Mangilao County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65110 | Merizo County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65120 | Mongmong County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65130 | Ordot County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65140 | Piti County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65150 | Santa Rita County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65160 | Sinajana County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65170 | Talofofo County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65180 | Tamuning County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65190 | Toto County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65200 | Umatac County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65210 | Yigo County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| 65220 | Yona County, Guam | 65 | Rural | 0.9611 | 0.9611 | 99965 | Rural | 0.9611 |
| * Transition wage index value should be used with the CBSA urban/rural designation for rate calculation purposes. | ||||||||
| 1 At this time, there are no hospitals located in these CBSA-based urban areas on which to base a wage index. Therefore, the transition wage index value is based on the average transition wage index for all urban areas within the state. | ||||||||
[FR Doc. 05-15221 Filed 7-28-05; 4:00 pm]
BILLING CODE 4120-03-P