20. Washington
Annual median wage: $163,520
Cost of living index: 107.1
Employment: 4,630
Washington has 107 hospitals, so surgeons enjoy tons of job opportunities in this state. They also have among the highest wages in the country for surgeons and physicians as well. While the state does not have so much demand for doctors if you compare it with other states, they do offer higher salaries than the national average, which is just hard to ignore. Their cost of living rates are higher than most American states, but could very well be sustained by what you can earn in here.