> There is an ENT surgeon position open in a rural hospital outside of fresno CA that pays 1.1M dollars/year

while 1.1m/yr sounds like a lot, it isn't the right number to consider. The right number is the difference between this job, and a similar job else where that has better facilities/amenities and comfort. If said surgeons who would qualify could've gotten a similar job in a major city for a similar amount of money, they might prefer it there (near family/friends, amenities etc).

So how much _over_ the typical pay is the 1.1m/yr salary offered?