Hi, I live north of Seattle, so am not fully familiar with the other hospitals south of it. I have not heard anything bad, and most seem to have a good reputation. However, I have not personally worked at any hospitals in Seattle or Tacoma. The cost of living in Seattle is quite high. When I lived there about 5 years ago, renting a 1 bedroom apartment would cost around $1500/mo. There were cheaper options, but they often required roommates. Rent tended to be somewhat cheaper south of Seattle, but not much. I would recommend looking up rental listings for current costs. As for pay, most Washington State hospitals are under the Washington State Nurses Association, and their contracts (including pay rates) are available on WSNA.org. Hope that helps!