PA Salary

Seattle vs Spokane: Physician Assistant Salary (2026)

Compare physician assistant salaries between Seattle, WA and Spokane, WA. All figures are 2026 estimates projected from BLS 2025 data.

Seattle, WA
$172,844
$83.10/hr
Spokane, WA
$152,469
$73.31/hr

Side-by-Side Comparison

MetricSeattle, WASpokane, WA
Median Salary$172,844$152,469
Hourly Rate$83.10$73.31
Entry Level (P10)$135,163$118,198
25th Percentile$162,037$133,903
75th Percentile$186,720$165,374
Top Earner (P90)$226,240$202,197
Total Employed1,920350
Side-by-side bar chart comparing Seattle ($172,844) and Spokane ($152,469) physician assistant salaries.SeattleSpokaneMedian Salary$172,844$152,469Entry Level (P10)$135,163$118,198Top Earner (P90)$226,240$202,197US Median $140,391

Verdict

Seattle, WA offers better overall compensation for physician assistants, winning 4 out of 4 metrics compared to Spokane.

The salary gap between Seattle and Spokane is $20,375 (13.36%). Seattle's median is +23.12% compared to the US national median of $140,391.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Seattle spans $91,077,Spokane spans $83,999. Seattle has a wider pay range, meaning more potential for high earners but also more variation.

Seattle
P10 (Entry)$135,163
P25$162,037
Median$172,844
P75$186,720
P90 (Top)$226,240
Spokane
P10 (Entry)$118,198
P25$133,903
Median$152,469
P75$165,374
P90 (Top)$202,197

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Seattle ($155,529 effective) pays 2.36% more than Spokane ($151,943 effective).

Seattle
Nominal: $172,844
CoL Index: 111.133
Adjusted: $155,529
Spokane
Nominal: $152,469
CoL Index: 100.346
Adjusted: $151,943

Cost-of-living adjustment: salary × (100 / CoL index). Index of 100 = national average.

Which City Is Right for You?

Choose Seattle if…

  • Higher median salary ($172,844/year)
  • Better top-earner potential ($226,240)
  • Larger job market (1,920 employed)
  • Better purchasing power (CoL-adjusted: $155,529)
  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, physician assistant salaries in Seattle grew 24.0% from 2019 to 2025, compared to 19.7% growth in Spokane over the same period.

Seattle, WA

+24.0%

$134,860 (2019) → $167,290 (2025)

Spokane, WA

+19.7%

$123,330 (2019) → $147,570 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays physician assistants more: Seattle or Spokane?

Seattle has a higher median physician assistant salary at $172,844/year, compared to Spokane at $152,469/year — a difference of $20,375 (13.36%).

What is the hourly rate difference between Seattle and Spokane?

Seattle physician assistants earn $83.10/hr while Spokane hygienists earn $73.31/hr (2026 est.).

Should I relocate from Seattle to Spokane as a physician assistant?

Consider more than just salary when comparing Seattle and Spokane. Factor in cost of living (CoL-adjusted: Seattle = $155,529, Spokane = $151,943), job availability (1,920 vs 350 employed), commute, and career growth potential.

What do entry-level physician assistants earn in Seattle vs Spokane?

Entry-level (10th percentile) physician assistants earn $135,163 in Seattle and $118,198 in Spokane. The Seattle area offers higher starting salaries.

Related Comparisons

JT

Written by Jessica Tran, MPAS, PA-C

Career Analyst

Jessica has 10 years of experience as a physician assistant. Her specialty is cardiology in an outpatient setting.

Clinically reviewed by Michael Chen, PA-CData verified by Amina Patel, MSPAS, PA-C

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.32% CAGR (derived from 6-year national BLS trends) was applied to estimate current compensation. Cost-of-living adjustments use BEA Regional Price Parity data. Actual salaries vary by employer, certifications, and experience.

Data Sources & Methodology

Source: BLS, OEWS , released .

Compiled and verified by Jessica Tran, MPAS, PA-C, a licensed physician assistant with 10+ years of clinical experience. · View source data at BLS.gov