I can speak to Oregon's practices, and I think this applies to a lot of Washington, too.
-Low pollution from industry and cars compared to most places
-Western part of the state (aka the Willamette valley, aka where Portland, Salem, and Eugene are- the 3 largest cities in OR). Extremely high pollen, especially in the spring. Occasionally ranks at the highest concentration of pollen on earth. In the winter, very high in mold. In the summer, there is field burning, which is massively problematic for asthma sufferers here.
-Coastal Oregon has very clean air, but no jobs. At all. You will never find a tech job on the Oregon coast, lol. You can barely even find logging jobs out there now.
-Eastern Oregon: major pollen from sage blooms, but that's a limited time thing. Certain seasons are problematic because you get the desert air inversions. Overall, very clean air. Bend, OR is up and coming as a "real city". Only thing: wild fire season is a problem.
From what I know of the world, as long as your kid isn't strongly triggered by mold, Seattle could be a good option if you can afford it. Portland probably isn't a great option, being in the Valley and all. Bend could be a good option, but could be a problem fire season, and the job market is moving fast right now- everyone wants to move there.
Hope that helps some. You probably know all this, but just in case, I'm a home health nurse for pediatrics, all my kids ("my kids"= my clients, lol, to clarify) have some type of reactive airway disease, so these are the main modification we recommend: Get an air purifier in their room. Strip out your carpets and move to area rugs, which you clean out and under often. Don't use a comforter for your kid's bed- instead use a quilt with no batting and wash it often. No drapes in their room. Dust often. Don't let pets sleep in their room. Don't use dryer sheets or fabric softeners- they're the main source of VOCs in homes. Switch away from any perfumed products like hair spray. Obviously NO SMOKING. Even the smoke left on your clothes can trigger an episode. Similarly, if you or a spouse work in an environment with volatile materials, change clothing as soon as you get home. Double rinse these clothes if you'll wear them at home around the child. No wood fires, obviously =P