Nurse Anesthetists (CRNA) Salary

Puyallup vs Spokane: Nurse Anesthetist Salary (2026)

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

Puyallup, WA
$255,962
$123.06/hr
Spokane, WA
$271,048
$130.31/hr

Side-by-Side Comparison

MetricPuyallup, WASpokane, WA
Median Salary$255,962$271,048
Hourly Rate$123.06$130.31
Entry Level (P10)$179,253$230,009
25th Percentile$229,646$252,270
75th Percentile$320,427$317,715
Top Earner (P90)$356,538$373,860
Total Employed10130
Side-by-side bar chart comparing Puyallup ($255,962) and Spokane ($271,048) nurse anesthetist salaries.PuyallupSpokaneMedian Salary$255,962$271,048Entry Level (P10)$179,253$230,009Top Earner (P90)$356,538$373,860US Median $248,893

Verdict

Spokane, WA offers better overall compensation for nurse anesthetists, winning 4 out of 4 metrics compared to Puyallup.

The salary gap between Puyallup and Spokane is $15,086 (5.89%). Spokane's median is +8.90% compared to the US national median of $248,893.

Salary Range Comparison

The full salary range (10th to 90th percentile) in Puyallup spans $177,285,Spokane spans $143,851. Puyallup has a wider pay range, meaning more potential for high earners but also more variation.

Puyallup
P10 (Entry)$179,253
P25$229,646
Median$255,962
P75$320,427
P90 (Top)$356,538
Spokane
P10 (Entry)$230,009
P25$252,270
Median$271,048
P75$317,715
P90 (Top)$373,860

Cost-of-Living Adjusted Comparison

After cost-of-living adjustment, Spokane ($270,113 effective) pays 13.34% more than Puyallup ($238,326 effective).

Puyallup
Nominal: $255,962
CoL Index: 107.4
Adjusted: $238,326
Spokane
Nominal: $271,048
CoL Index: 100.346
Adjusted: $270,113

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

Which City Is Right for You?

Choose Puyallup if…

  • You prefer the Washington area and lifestyle

Choose Spokane if…

  • Higher median salary ($271,048/year)
  • Better top-earner potential ($373,860)
  • Larger job market (130 employed)
  • Better purchasing power (CoL-adjusted: $270,113)
  • You prefer the Washington area and lifestyle

Historical Salary Growth Comparison

Based on BLS OEWS metropolitan area data, nurse anesthetist salaries in Puyallup grew -3.4% from 2024 to 2025, compared to 35.4% growth in Spokane over the same period.

Puyallup, WA

+-3.4%

$251,959 (2024) → $243,310 (2025)

Spokane, WA

+35.4%

$190,350 (2019) → $257,650 (2025)

View Full Salary Data

Frequently Asked Questions

Which city pays nurse anesthetists more: Puyallup or Spokane?

Spokane has a higher median nurse anesthetist salary at $271,048/year, compared to Puyallup at $255,962/year — a difference of $15,086 (5.89%).

What is the hourly rate difference between Puyallup and Spokane?

Puyallup nurse anesthetists earn $123.06/hr while Spokane hygienists earn $130.31/hr (2026 est.).

Should I relocate from Puyallup to Spokane as a nurse anesthetist?

Consider more than just salary when comparing Puyallup and Spokane. Factor in cost of living (CoL-adjusted: Puyallup = $238,326, Spokane = $270,113), job availability (10 vs 130 employed), commute, and career growth potential.

What do entry-level nurse anesthetists earn in Puyallup vs Spokane?

Entry-level (10th percentile) nurse anesthetists earn $179,253 in Puyallup and $230,009 in Spokane. The Spokane area offers higher starting salaries.

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Written by Alexandra Johnson, MSN, CRNA

Career Analyst

Alexandra Johnson has 10 years of experience as a nurse anesthetist. She specializes in anesthesia for orthopedic surgeries. She works in a regional medical center.

Clinically reviewed by Michael Lee, DNP, CRNAData verified by Fatima Ahmad, MSN, CRNA

Methodology & Data Source

All salary figures are 2026 projections based on BLS OEWS May 2025 data. A 5.20% 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 Alexandra Johnson, MSN, CRNA, a licensed nurse anesthetist with 10+ years of clinical experience. · View source data at BLS.gov