<Tr> <Td> Washington </Td> <Td> 49 </Td> <Td> 27 </Td> <Td> 16 </Td> <Td> 37 </Td> </Tr> <Tr> <Td> West Virginia </Td> <Td> 64 </Td> <Td> 45 </Td> <Td> 9 </Td> <Td> 17 </Td> </Tr> <Tr> <Td> Wisconsin </Td> <Td> 39 </Td> <Td> 26 </Td> <Td> 7 </Td> <Td> 21 </Td> </Tr> <Tr> <Td> Wyoming </Td> <Td> 56 </Td> <Td> 39 </Td> <Td> 8 </Td> <Td> 17 </Td> </Tr>

What is the overall annual teenage pregnancy rate in the united states