Of course, some of that is cost of living, but a lot of it is the lack of diversity in the ratings.
I'm sure Elko, Nevada has some doctors, but probably not many investment bankers. With less representation from other well-remunerated occupations, a doctor in Elko is likely to be in the top 1%; however, a similar doctor in Manhattan probably isn't.
To be in the top 1% nationally, you had to have earned $383,000 in 2015.
In some cities that number is as low as $175K, very doable for a doctor or dentist.