Best Med Spas in Washington

1,076 med spas across 125 towns, ranked by Google rating weighted by how many people left one.

Photo: Lumpytrout, CC BY-SA 3.0

Top-Rated Med Spas in Washington

Rating weighted by review count · at least 20 reviews
#Med spaCityRating
1Ossman Harding Dental EnumclawReviewers most often mention friendly staff (313 reviews), caring staff (140) and hygienist (54).Enumclaw 5.0 (925)
2Allen Gabriel MD | AG Aesthetic CenterTreatments named on its site include Botox, dermal fillers, CoolSculpting and Morpheus8.Vancouver 5.0 (685)
3Crafted BeautyGoogle reviews most often bring up relaxing facial (15 reviews), esthetician (15) and human design session (14).Spokane 5.0 (672)
4VADARA Med Spa - Mill CreekGoogle reviews most often bring up lip filler (33 reviews), injector (29) and friendly front desk (10).Mill Creek 5.0 (607)
5Faces in BloomReviewers most often mention lip filler (59 reviews), injector (24) and skincare (20).Vancouver 5.0 (588)
6Seattle BeautyReviewers most often mention lip filler (28 reviews), PRP (13) and salt facial (11).Seattle 5.0 (502)
7Radiance Skin and LaserReviewers most often mention laser hair removal (34 reviews), beautiful clinic (29) and attentive doctor (17).Bothell 5.0 (492)
8Sand Plastic Surgery: Jordan P. Sand, MDIts website lists Botox, dermal fillers, lip filler and medical weight loss.Spokane 5.0 (449)
9PURE SKIINThe themes reviewers raise most are waxing (106 reviews), brows (30) and brow wax (19).Spokane Valley 5.0 (424)
10Sarah Hamilton FaceReviewers most often mention skin care (27 reviews), HydraFacial (16) and lip filler (15).Liberty Lake 5.0 (414)
11PI Aesthetics Medical SpaThe themes reviewers raise most are beautiful clinic (23 reviews), lip filler (21) and laser (14).Mill Creek 5.0 (388)
12SKIN MVMTReviewers most often mention lip filler (55 reviews), thorough explanations (16) and injectables (11).Olympia 5.0 (378)
13Gig Harbor Aesthetics & WellnessGoogle reviews most often bring up knowledgeable staff (145 reviews), kind staff (53) and Botox (52).Gig Harbor 5.0 (370)
14LISSÈ Medical AestheticsReviewers most often mention laser (20 reviews), katrina (19) and skin transformation (8).Gig Harbor 5.0 (346)
15Ossman Harding Dental Bonney LakeThe themes reviewers raise most are friendly staff (117 reviews), kind staff (59) and hygienist (42).Bonney Lake 5.0 (342)
16Rejuvenate RxReviewers most often mention knowledgeable doctor (18 reviews), acne treatment (8) and knowledgeable team (8).Spokane 5.0 (304)
17K Beauty Lab SeattleGoogle reviews most often bring up skin analysis (28 reviews), relaxing atmosphere (23) and welcoming staff (19).Seattle 5.0 (302)
18Peak HydrationReviewers most often mention IV therapy (61 reviews), relaxing atmosphere (47) and gentle nurse (13).Bellingham 5.0 (291)
19Áme Aesthetic InstituteGoogle reviews most often bring up friendly staff (134 reviews), welcoming staff (37) and Botox (33).Sumner 5.0 (287)
20Rejuvenate Wellness & AestheticsReviewers most often mention IV therapy (59 reviews), clean facility (13) and reclining chairs (7).Olympia 5.0 (279)

Washington Med Spas by the Numbers

1,076med spas in 125 cities and towns
4.82average Google rating across 981 rated spas
$12median posted Botox price per unit (48 spas)
73%list Botox or another wrinkle relaxer

We list 1,076 med spas in Washington across 125 cities and towns.

981 of them have a Google rating, and the average is 4.82 out of 5 (median 5.0).

78% of rated Washington spas hold a 4.8 or higher.

Together they have 115,520 Google reviews, and the typical spa has 40.

Seattle has the most listings with 115, followed by Bellevue (109), Vancouver (78), Spokane (40), Kirkland (39) and Tacoma (38).

Among cities with 25 or more rated spas, Vancouver (4.88, 72 spas) and Spokane (4.81, 37 spas) have the highest average Google ratings.

Botox is the most offered treatment (73% of listings), followed by microneedling (71%), dermal fillers (69%), chemical peels (64%) and facials (60%).

The median posted Botox price is $12 per unit across 48 spas, and half of posted prices fall between $10 and $13.

That is slightly above the national median of $11 per unit in our directory.

What Med Spa Treatments Cost in Washington

TreatmentMedian posted priceMiddle halfSpas posting
Botoxper unit$12US $11$10 to $13half of prices48
Microneedlingper session$350US $325$100 to $750full range33
Dermaplaningper session$95US $75$45 to $249full range35

Each price is the lowest one a spa posts for that treatment on its own website, and we show a treatment only when 15 or more spas post a price for it.

Only 103 of the 1,076 Washington spas we list post any price, so ask for a written quote before you book.

How We Rank Washington Med Spas

We rank Washington med spas by Google rating, weighted by how many people left one.

A 5.0 from 1,400 reviews ranks above a 5.0 from 12, because each rating is blended toward a 4.6 baseline until it has about 25 reviews behind it.

The statewide list only includes spas with at least 20 Google reviews, which 693 of the 1,076 Washington listings have.

No spa pays to be listed or to rank higher.

Med Spas in Washington: Questions People Ask

How much is Botox in Washington?

Across 48 Washington med spas that post a Botox price, the median is $12 per unit.

Half charge between $10 and $13.

That is slightly above the $11 national median in our directory.

Most spas do not post prices, so ask for the per-unit price and the number of units in writing.

Are med spas regulated in Washington?

Yes, the treatments they offer are.

Washington Medical Commission rules treat cosmetic injections and prescription laser, IPL, radiofrequency and plasma treatments as the practice of medicine.

A physician must examine the patient first and may delegate the work only to trained licensed professionals.

Who can do Botox in Washington?

A physician, or a properly trained physician assistant, registered nurse or licensed practical nurse the physician delegates to.

For FDA-approved uses the physician must be reachable within 30 minutes, and for off-label uses the physician must be on site for the whole procedure.

Estheticians may not inject under any circumstances.

Who can do laser hair removal in Washington?

A physician must examine you first and may delegate the treatment only to a trained licensed professional whose scope allows laser use.

Licensed master estheticians may use lasers and IPL for permanent hair reduction, subject to delegation or supervision rules.

Regular estheticians may not use lasers.

The physician must be on the premises for your first treatment.

Do I need an exam before Botox in Washington?

Yes. Before authorizing a cosmetic injection, the physician must take your history, perform an appropriate physical exam, make a diagnosis and recommend treatment.

The physician must also get your informed consent and prepare a medical record.

What is the best city for med spas in Washington?

Seattle has the most listings (115), followed by Bellevue (109), Vancouver (78) and Spokane (40).

Among cities with 25 or more rated spas, Vancouver (4.88, 72 spas) and Spokane (4.81, 37 spas) have the highest average Google ratings.

How many med spas are in Washington?

We list 1,076 med spas in 125 Washington cities and towns, and 693 of them have 20 or more Google reviews.

Med Spa Rules in Washington

What Washington law and its licensing boards say about who may do med spa treatments, each with its source. This is a plain-English summary, not legal advice.

  1. Washington Medical Commission rules treat injecting a medication or substance for cosmetic purposes as the practice of medicine. [1]
  2. Washington Medical Commission rules also treat the use of prescription laser, light (including IPL), radiofrequency and plasma devices on the skin as the practice of medicine. [2]
  3. A physician may delegate cosmetic injections only to a properly trained physician assistant, registered nurse or licensed practical nurse. [1]
  4. The Nursing Care Quality Assurance Commission says in a non-binding advisory opinion that prepared, competent RNs and LPNs may perform cosmetic skin procedures under the direction of an authorized practitioner such as a physician, ARNP or PA. [3]
  5. When a delegated injection uses a product FDA-approved for that use, the physician need not be on site but must be reachable by phone and able to respond within 30 minutes. [1]
  6. When the product or use is not FDA-approved (off-label), the physician must be on site for the entire injection procedure. [1]
  7. The cosmetic injection rule requires a written office protocol, a consent form listing the delegate's identity and license, and name tags showing each delegate's license, and delegates may not pass the task to someone else. [1]
  8. A physician may sponsor no more than three physician assistants for cosmetic injection procedures. [1]
  9. Before authorizing a cosmetic injection, the physician must take a history, perform an appropriate physical exam, make a diagnosis, recommend treatment, get informed consent and prepare a medical record. [1]
  10. For laser, light, radiofrequency and plasma treatments, a physician must examine the patient first and may delegate only to a trained licensed professional whose scope allows it, under a written protocol. [2]
  11. The delegating physician must be on the premises for a patient's first laser or light treatment, and established patients may continue during brief absences only with a local back-up physician who can see them within 60 minutes. [2]
  12. Washington law says the practice of esthetics may use any device except lasers and under no circumstances includes injections. [4]
  13. Licensed master estheticians may perform medium-depth peels and use medical devices such as lasers, IPL, radiofrequency, plasma and ultrasound for skin care and permanent hair reduction, subject to delegation or supervision rules. [4]
  14. Washington's cosmetic injection rule expressly excludes intravenous therapy, so it does not govern IV hydration. [1]
  15. Washington Nursing Commission rules describe the ARNP as a licensed independent practitioner who may examine patients, establish diagnoses, prescribe medications when granted prescriptive authority, and perform procedures within their scope. [5]
  16. Washington is renaming ARNPs advanced practice registered nurses (APRNs), with the new title taking effect June 30, 2027. [6]

Med Spas by City in Washington

Seattle · 115Bellevue · 109Vancouver · 78Spokane · 40Kirkland · 39Tacoma · 38Puyallup · 29Issaquah · 27Bellingham · 24Spokane Valley · 21Kennewick · 20Renton · 20Woodinville · 18Lynnwood · 17Federal Way · 17Bothell · 17Gig Harbor · 17Olympia · 17Mill Creek · 16Yakima · 15University Place · 14Richland · 13Redmond · 13Maple Valley · 12Edmonds · 12Lacey · 12Bonney Lake · 11Longview · 11Everett · 11Wenatchee · 11Kent · 9Silverdale · 7Camas · 7Chehalis · 6Walla Walla · 6Burlington · 6Mount Vernon · 6Moses Lake · 6Lake Stevens · 6Anacortes · 6
All 125 towns
Lakewood · 6Poulsbo · 5Mercer Island · 5Shoreline · 5Monroe · 5Enumclaw · 5Mukilteo · 5Pasco · 5Arlington · 5Auburn · 4Snoqualmie · 4Tukwila · 4Sumner · 4Port Angeles · 4Snohomish · 4Ridgefield · 4Liberty Lake · 4Chelan · 4Edgewood · 4Sequim · 4Ellensburg · 4Burien · 3Coupeville · 3Bremerton · 3Lynden · 3Mountlake Terrace · 3Aberdeen · 3Bainbridge Island · 3Covington · 3Oak Harbor · 3Battle Ground · 3Blaine · 2Selah · 2Spanaway · 2White Salmon · 2Centralia · 2Sammamish · 2Stanwood · 2Port Orchard · 2Orting · 2Kalama · 2Black Diamond · 2Newcastle · 2Woodland · 2Cle Elum · 2Milton · 2Cheney · 2Washougal · 2Clarkston · 2Marysville · 2Buckley · 1Camano · 1Yelm · 1Kingston · 1Sultan · 1DuPont · 1South Bend · 1Prosser · 1Eatonville · 1Fircrest · 1Ruston · 1Dayton · 1Kenmore · 1Tumwater · 1Normandy Park · 1Clinton · 1East Wenatchee · 1Omak · 1Chewelah · 1Castle Rock · 1Brush Prairie · 1Zillah · 1Des Moines · 1Port Townsend · 1Shelton · 1Pullman · 1Graham · 1Port Ludlow · 1North Bend · 1Waitsburg · 1Lake Tapps · 1Sunnyside · 1Deer Park · 1Union Gap · 1Ocean Shores · 1