Counties With the Most Expensive Child Care in Every State

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1. Alabama: Shelby County
> Major city: Birmingham
> Annual childcare cost: $5,957
> Child care as pct. of total expenses: 8.3% (of $71,721)
> Median family income: $87,476

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2. Alaska: Fairbanks North Star Borough
> Major city: Fairbanks
> Annual childcare cost: $11,948
> Child care as pct. of total expenses: 12.5% (of $95,399)
> Median family income: $90,759

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3. Arizona: Coconino County
> Major city: Flagstaff
> Annual childcare cost: $8,949
> Child care as pct. of total expenses: 11.3% (of $79,275)
> Median family income: $65,023

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4. Arkansas: Saline County
> Major city: Little Rock
> Annual childcare cost: $5,835
> Child care as pct. of total expenses: 9.3% (of $62,741)
> Median family income: $70,626

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5. California: San Mateo County
> Major city: San Francisco
> Annual childcare cost: $13,997
> Child care as pct. of total expenses: 10.2% (of $137,553)
> Median family income: $117,300