Nurse Practitioner Pay

Issaquah vs Spokane: Nurse Practitioner Salary (2026)

Compare nurse practitioner salaries between Issaquah, WA and Spokane, WA. All figures are 2026 estimates projected from BLS 2025 data.

Issaquah, WA
$149,097
$71.68/hr
Spokane, WA
$146,889
$70.61/hr

Side-by-Side Comparison

MetricIssaquah, WASpokane, WA
Median Salary$149,097$146,889
Hourly Rate$71.68$70.61
Entry Level (P10)$116,430$112,802
25th Percentile$133,027$130,595
75th Percentile$171,354$164,620
Top Earner (P90)$184,825$189,355
Total Employed9530
Side-by-side bar chart comparing Issaquah ($149,097) and Spokane ($146,889) nurse practitioner salaries.IssaquahSpokaneMedian Salary$149,097$146,889Entry Level (P10)$116,430$112,802Top Earner (P90)$184,825$189,355US Median $136,864

Verdict

Issaquah and Spokane are closely matched on overall nurse practitioner compensation, each winning on different metrics.

The salary gap between Issaquah and Spokane is $2,208 (1.50%). Issaquah's median is +8.94% compared to the US national median of $136,864.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Issaquah spans $68,395,Spokane spans $76,553. Spokane has a wider pay range, suggesting more variation in pay between entry-level and experienced nurse practitioners.

Issaquah
P10 (Entry)$116,430
P25$133,027
Median$149,097
P75$171,354
P90 (Top)$184,825
Spokane
P10 (Entry)$112,802
P25$130,595
Median$146,889
P75$164,620
P90 (Top)$189,355

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spokane ($146,383 effective) pays 5.44% more than Issaquah ($138,824 effective).

Issaquah
Nominal: $149,097
CoL Index: 107.4
Adjusted: $138,824
Spokane
Nominal: $146,889
CoL Index: 100.346
Adjusted: $146,383

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

Which City Is Right for You?

Choose Issaquah if…

  • Higher median salary ($149,097/year)
  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • Better top-earner potential ($189,355)
  • Larger job market (530 employed)
  • Better purchasing power (CoL-adjusted: $146,383)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse practitioner salaries in Issaquah grew -6.3% from 2024 to 2025, compared to 4.9% growth in Spokane over the same period.

Issaquah, WA

+-6.3%

$153,783 (2024) → $144,125 (2025)

Spokane, WA

+4.9%

$135,410 (2019) → $141,990 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse practitioners more: Issaquah or Spokane?

Issaquah has a higher median nurse practitioner salary at $149,097/year, compared to Spokane at $146,889/year — a difference of $2,208 (1.50%).

What is the hourly rate difference between Issaquah and Spokane?

Issaquah nurse practitioners earn $71.68/hr while Spokane hygienists earn $70.61/hr (2026 est.).

Should I relocate from Issaquah to Spokane as a nurse practitioner?

Consider more than just salary when comparing Issaquah and Spokane. Factor in cost of living (CoL-adjusted: Issaquah = $138,824, Spokane = $146,383), job availability (9 vs 530 employed), commute, and career growth potential.

What do entry-level nurse practitioners earn in Issaquah vs Spokane?

Entry-level (10th percentile) nurse practitioners earn $116,430 in Issaquah and $112,802 in Spokane. The Issaquah area offers higher starting salaries.
MG

Written by Maria Gonzalez, MSN, NP-C

Career Analyst

Maria has 10 years of experience in adult healthcare. She works in a community health clinic. Her specialty is chronic disease management.

Clinically reviewed by James Patel, DNP, APRNData verified by Aisha Khan, MSN, FNP-BC

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 3.45% 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 Maria Gonzalez, MSN, NP-C, a licensed nurse practitioner with 10+ years of clinical experience. · View source data at BLS.gov