State List of Cost of Care as Percentage of Median Household Income

18% to 24%:

• Iowa
• Maryland
• Minnesota
• Nebraska
• New Hampshire
• North Dakota
• Wyoming

24% to 28%:

• Alaska
• Arkansas
• Colorado
• Connecticut
• Delaware
• Hawaii
• Idaho
• Kansas
• Maine
• Michigan
• Missouri
• Montana
• New Jersey
• Oregon
• Pennsylvania
• Rhode Island
• South Dakota
• Texas
• Utah
• Vermont
• Virginia
• Wisconsin

29% to 35%:

• Alabama
• Arizona
• California
• Florida
• Georgia
• Illinois
• Indiana
• Kentucky
• Louisiana
• Massachusetts
• North Carolina
• Ohio
• South Carolina
• Washington

35% to 40%:

• Nevada
• New Mexico
• New York
• Tennessee
• Washington D.C.

40% to 46%:

• Mississippi
• West Virginia