| 1. | Citrus County, FL (Homosassa Springs, Beverly Hills, Hernando) (pop. 118,085) | 16.4 |
| 2. | Mercer County, WV (Bluefield, Princeton, Bluewell) (pop. 62,980) | 14.4 |
| 3. | Walker County, AL (Jasper, Manchester, Townley) (pop. 70,713) | 14.2 |
| 4. | Hernando County, FL (Spring Hill, Brooksville, Timber Pines) (pop. 130,802) | 14.2 |
| 5. | Highlands County, FL (Sebring, Avon Park, Placid Lakes) (pop. 87,366) | 14.1 |
| 6. | Jefferson County, OH (Steubenville, Toronto, Wintersville) (pop. 73,894) | 14.0 |
| 7. | Charlotte County, FL (Port Charlotte, Punta Gorda, Rotonda) (pop. 141,627) | 13.9 |
| 8. | Josephine County, OR (Grants Pass, Northwest Josephine, Redwood) (pop. 75,726) | 13.8 |
| 9. | Garland County, AR (Hot Springs, Hot Springs Village, Piney) (pop. 88,068) | 13.7 |
| 10. | Coos County, OR (Coos Bay, North Bend, Eastside) (pop. 62,779) | 13.4 |
| 11. | Mohave County, AZ (Lake Havasu City, Bullhead City, Kingman) (pop. 155,032) | 13.3 |
| 12. | Waupaca County, WI (New London, Waupaca, Clintonville) (pop. 51,731) | 13.3 |
| 13. | Etowah County, AL (Gadsden, Rainbow City, Southside) (pop. 103,459) | 13.2 |
| 14. | Fayette County, PA (Uniontown, Connellsville, Masontown) (pop. 148,644) | 13.2 |
| 15. | Cape May County, NJ (Ocean City, Villas, Wildwood) (pop. 102,326) | 13.2 |
| 16. | Sarasota County, FL (Sarasota, Interior County, Gulf Gate-Osprey) (pop. 325,957) | 13.1 |
| 17. | Clallam County, WA (Port Angeles, Agnew-Carlsborg, Sequim) (pop. 64,525) | 13.0 |
| 18. | Marion County, FL (Ocala, East Marion, Fellowship) (pop. 258,916) | 13.0 |
| 19. | Belmont County, OH (Martins Ferry, St. Clairsville, Bellaire) (pop. 70,226) | 12.9 |
| 20. | Schuylkill County, PA (Pottsville, Tamaqua, Shenandoah) (pop. 150,336) | 12.9 |
| 21. | Kanawha County, WV (Charleston, South Charleston, St. Albans) (pop. 200,073) | 12.8 |
| 22. | Henry County, VA (Martinsville, Collinsville, Horse Pasture) (pop. 57,930) | 12.8 |
| 23. | Knox County, IL (Galesburg, Abingdon, Knoxville) (pop. 55,836) | 12.8 |
| 24. | Cambria County, PA (Johnstown, Westmont, Northern Cambria) (pop. 152,598) | 12.7 |
| 25. | Gila County, AZ (Payson, Globe, Reservation) (pop. 51,335) | 12.7 |
| 26. | Barnstable County, MA (Barnstable Town, Yarmouth, Mashpee) (pop. 222,230) | 12.7 |
| 27. | Mahoning County, OH (Youngstown, Boardman, Austintown) (pop. 257,555) | 12.7 |
| 28. | Lackawanna County, PA (Scranton, Dunmore, Carbondale) (pop. 213,295) | 12.6 |
| 29. | Indian River County, FL (Vero Beach South, Vero Beach, Sebastian) (pop. 112,947) | 12.6 |
| 30. | Luzerne County, PA (Wilkes-Barre, Back Mountain, Hazleton) (pop. 319,250) | 12.6 |
| 31. | Muskogee County, OK (Muskogee, Fort Gibson, Haskell) (pop. 69,451) | 12.5 |
| 32. | Lake County, CA (Clearlake, Lakeport, Hidden Valley Lake) (pop. 58,309) | 12.5 |
| 33. | Raleigh County, WV (Beckley, Crab Orchard, Bradley) (pop. 79,220) | 12.5 |
| 34. | Harrison County, WV (Clarksburg, Bridgeport, Shinnston) (pop. 68,652) | 12.5 |
| 35. | Pike County, KY (South Williamson, Pikeville, Millard) (pop. 68,736) | 12.5 |
| 36. | Douglas County, OR (Roseburg, Calapooia, Tenmile) (pop. 100,399) | 12.4 |
| 37. | Blair County, PA (Altoona, Tyrone, Hollidaysburg) (pop. 129,144) | 12.4 |
| 38. | Roane County, TN (Harriman, Barnard, Rockwood) (pop. 51,910) | 12.4 |
| 39. | Putnam County, FL (Interlachen-Florahome, Palatka, Crescent City) (pop. 70,423) | 12.4 |
| 40. | Jackson County, AL (Scottsboro, Long Island, Bridgeport) (pop. 53,926) | 12.3 |
| 41. | Roanoke city, VA (pop. 94,911) | 12.3 |
| 42. | Northumberland County, PA (Sunbury, Shamokin, Milton) (pop. 94,556) | 12.3 |
| 43. | Henderson County, TX (Cedar Creek Lake, Athens, La Rue-Poynor) (pop. 73,277) | 12.3 |
| 44. | Lawrence County, PA (New Castle, Ellwood City, New Wilmington) (pop. 94,643) | 12.3 |
| 45. | Colbert County, AL (Tri-Cities, Muscle Shoals, Sheffield) (pop. 54,984) | 12.3 |
| 46. | Sumter County, FL (The Villages, Wildwood, Lake Panasoffkee) (pop. 53,345) | 12.3 |
| 47. | Pinellas County, FL (St. Petersburg, Clearwater, Boca Ciega) (pop. 921,482) | 12.3 |
| 48. | Mercer County, PA (Sharon, Hermitage, Grove City) (pop. 120,293) | 12.2 |
| 49. | Cabell County, WV (Huntington, Pea Ridge, Barboursville) (pop. 96,784) | 12.2 |
| 50. | Volusia County, FL (Deltona, Daytona Beach, Port Orange) (pop. 443,343) | 12.2 |
| 51. | Beaver County, PA (Aliquippa, Beaver Falls, Economy) (pop. 181,412) | 12.2 |
| 52. | Somerset County, PA (Somerset, Windber, Meyersdale) (pop. 80,023) | 12.1 |
| 53. | Sullivan County, TN (Kingsport, Bristol, Bluff City-Piney Flats) (pop. 153,048) | 12.1 |
| 54. | Ocean County, NJ (Toms River, Lakewood, Point Pleasant) (pop. 510,916) | 12.1 |
| 55. | Henderson County, NC (Hendersonville, Mills River, Fletcher) (pop. 89,173) | 12.1 |
| 56. | Allegany County, MD (Cumberland, Frostburg, District 7, Cresaptown/Bel Air) (pop. 74,930) | 12.1 |
| 57. | McCracken County, KY (Paducah, Woodlawn-Oakdale, Farley) (pop. 65,514) | 12.1 |
| 58. | Rutherford County, NC (Forest City, Rutherfordton, Spindale) (pop. 62,899) | 12.1 |
| 59. | Armstrong County, PA (Kittanning, Ford City, Leechburg) (pop. 72,392) | 12.0 |
| 60. | Carbon County, PA (Lehighton, Palmerton, Jim Thorpe) (pop. 58,802) | 12.0 |
| 61. | Greene County, TN (Greeneville, Southeast Nolichucky, Rheatown-Chucky) (pop. 62,909) | 12.0 |
| 62. | Scioto County, OH (Portsmouth, Wheelersburg, West Portsmouth) (pop. 79,195) | 11.9 |
| 63. | Washington County, PA (Washington, Canonsburg, Donora) (pop. 202,897) | 11.9 |
| 64. | Clark County, OH (Springfield, Northridge, New Carlisle) (pop. 144,742) | 11.9 |
| 65. | Halifax County, NC (Roanoke Rapids, South Rosemary, Scotland Neck) (pop. 57,370) | 11.9 |
| 66. | Adams County, IL (Quincy, Camp Point, Payson) (pop. 68,277) | 11.9 |
| 67. | Washington County, MS (Greenville, Leland, Hollandale) (pop. 62,977) | 11.9 |
| 68. | Westmoreland County, PA (Murrysville, Municipality of Murrysville, Greensburg) (pop. 369,993) | 11.9 |
| 69. | Marion County, WV (Fairmont, Middletown district, Pleasant Valley) (pop. 56,598) | 11.8 |
| 70. | Wayne County, IN (Richmond, Centerville, Cambridge City) (pop. 71,097) | 11.8 |
| 71. | Anderson County, TN (Oak Ridge, Clinton, Walden Ridge) (pop. 71,330) | 11.8 |
| 72. | Pasco County, FL (Central Pasco, Bayonet Point, Holiday) (pop. 344,765) | 11.8 |
| 73. | Martin County, FL (Palm City, Stuart, Hobe Sound) (pop. 126,731) | 11.8 |
| 74. | Venango County, PA (Oil City, Franklin, Sugarcreek) (pop. 57,565) | 11.8 |
| 75. | Carson City, NV (Carson City) (pop. 52,457) | 11.8 |
| 76. | Yavapai County, AZ (Prescott, Verde, Mingus Mountain) (pop. 167,517) | 11.8 |
| 77. | Trumbull County, OH (Warren, Niles, Girard) (pop. 225,116) | 11.7 |
| 78. | Pulaski County, KY (Somerset, Nancy, Shopville) (pop. 56,217) | 11.7 |
| 79. | Columbus County, NC (Whiteville, Tabor City, Chadbourn) (pop. 54,749) | 11.7 |
| 80. | Lenoir County, NC (Kinston, La Grange, Jackson Heights) (pop. 59,648) | 11.7 |
| 81. | Haywood County, NC (Waynesville, Canton, Lake Junaluska) (pop. 54,033) | 11.6 |
| 82. | Shasta County, CA (Redding, Central Shasta, Anderson) (pop. 163,256) | 11.6 |
| 83. | Wood County, WV (Parkersburg, Vienna, Blennerhassett) (pop. 87,986) | 11.6 |
| 84. | Erie County, OH (Sandusky, Vermilion, Huron) (pop. 79,551) | 11.6 |
| 85. | Aroostook County, ME (Presque Isle, Caribou, Houlton) (pop. 73,938) | 11.6 |
| 86. | Cullman County, AL (Cullman, Vinemont, Bremen) (pop. 77,483) | 11.6 |
| 87. | Talladega County, AL (Talladega, Sylacauga, Childersburg) (pop. 80,321) | 11.6 |
| 88. | Moore County, NC (Southern Pines, Pinehurst, Aberdeen) (pop. 74,769) | 11.6 |
| 89. | Laurens County, SC (Laurens, Clinton, Joanna) (pop. 69,567) | 11.5 |
| 90. | Calhoun County, AL (Anniston, Oxford, Websters Chapel-Alexandria Valley) (pop. 112,249) | 11.5 |
| 91. | Lawrence County, OH (Ironton, South Point, Burlington) (pop. 62,319) | 11.5 |
| 92. | Rockingham County, NC (Eden, Reidsville, Wentworth) (pop. 91,928) | 11.5 |
| 93. | Vermilion County, IL (Danville, Hoopeston, Georgetown) (pop. 83,919) | 11.5 |
| 94. | Williamson County, IL (Marion, Herrin, Carterville) (pop. 61,296) | 11.4 |
| 95. | Lauderdale County, AL (Florence, Cloverdale, Oakland) (pop. 87,966) | 11.4 |
| 96. | Clearfield County, PA (DuBois, Clearfield, Treasure Lake) (pop. 83,382) | 11.4 |
| 97. | Mississippi County, AR (Blytheville, Osceola, Gosnell) (pop. 51,979) | 11.3 |
| 98. | Washington County, OH (Marietta, Belpre, Devola) (pop. 63,251) | 11.3 |
| 99. | Surry County, NC (Mount Airy, Elkin, Toast) (pop. 71,219) | 11.3 |
| 100. | Garfield County, OK (Enid, South Garfield, North Garfield) (pop. 57,813) | 11.3 |
| 101. | Marshall County, AL (Albertville, Boaz, Guntersville) (pop. 82,231) | 11.3 |