Top Paying Careers in Spokane, WA for 2026
As of 2026, Spokane, Washington boasts a diverse array of high-paying job opportunities across various industries, including healthcare, technology, and finance. If you are seeking a lucrative career in the Spokane area, this comprehensive guide will help you identify the most rewarding professions available.
We present the 21 highest-paying jobs in Spokane for 2026 using the latest data from the Bureau of Labor Statistics (BLS). While many of these high-paying positions demand considerable experience, there are also several well-compensated entry-level roles for individuals with the right educational qualifications.
The highest-paying job in Spokane remains the Nephrologist, offering an average annual salary of $335,388, with entry-level salaries starting at $189,000.
Whether you’re contemplating a career transition, considering a move to Spokane, or are a recent graduate planning your future, this guide to the highest-paying jobs and best industries in Spokane will assist you in charting your next steps.
Here’s a snapshot of the top 10 highest-paying jobs in Spokane, Washington:
Comprehensive List of High-Paying Jobs in Spokane
| Rank | Job Title | Average Salary | Entry Level Salary |
|---|---|---|---|
| 1 | Nephrologist | $335,388 | $189,000 |
| 2 | Psychiatrist | $326,782 | $177,000 |
| 3 | Hospitalist Physician | $311,034 | $220,000 |
| 4 | Gastroenterologist | $298,610 | $174,000 |
| 5 | Radiologist | $294,218 | $147,000 |
| 6 | Child & Adolescent Psychiatrist | $289,935 | $180,000 |
| 7 | Pediatric Oncologist | $279,238 | $153,000 |
| 8 | Physician | $264,343 | $144,000 |
| 9 | Primary Care Physician | $264,128 | $147,000 |
| 10 | Acute Care Physician | $261,681 | $149,000 |
| 11 | Staff Physician | $260,926 | $150,000 |
| 12 | Hospitalist | $260,505 | $168,000 |
| 13 | Medical Director | $259,226 | $171,000 |
| 14 | Neonatologist | $258,537 | $105,000 |
| 15 | Family Medicine Physician | $239,720 | $140,000 |
| 16 | General Internist | $237,308 | $147,000 |
| 17 | Internal Medicine Physician | $225,031 | $132,000 |
| 18 | Family Practice Physician | $212,820 | $128,000 |
| 19 | Pediatric Physician Assistant | $185,486 | $104,000 |
| 20 | Owner/Operator | $181,442 | $125,000 |
| 21 | Family Practitioner | $181,439 | $84,000 |
How We Identified the Highest Paying Jobs in Spokane for 2026
To determine the highest-paying jobs in Spokane, we utilized the latest data from the Bureau of Labor Statistics (BLS), Foreign Labor Certification Data Center (FLC), Office of Personnel Management (OPM), and additional sources.
Zippia’s data science team enhances this information by continuously monitoring millions of job postings daily to extract published salary data. We then correlate these salaries with corresponding companies, locations, and job titles from other datasets.
Ultimately, we compute a weighted average of these inputs to derive a projected salary for each specific job title in Spokane.
In total, our analysis examined salary data across over 1,000 job titles in Spokane to pinpoint the most lucrative positions.
Editor’s Note: This article has been updated for 2026. This marks our eighth evaluation of the highest paying jobs in Spokane.

