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The highest paid nurses in the United States are Certified Registered Nurse Anesthetists (CRNAs), who specialize in administering anesthesia and providing perioperative care. Due to their advanced training, extensive responsibilities, and critical role in surgical procedures, CRNAs typically earn the highest salaries among nursing professionals. Their median annual salary often exceeds $180,000, with some experienced practitioners earning over $200,000, especially in certain states or specialized settings. The high compensation reflects the demanding nature of their work, the need for specialized education (usually a master's degree or higher), and the significant impact they have on patient outcomes during surgeries and other procedures.