My list changes constantly here are the top 5 currently. (in no particular order.)
SANTE'S Spokane, WA - A new/young creative chef specializing in European style farm to table cuisine. Not only do they use only locally grown (when possible) they also butcher and cure their own meats. If he was in a large city this restaurant would be a stellar hit, with write-up's and multiple James beard nominations.
CHEF MAVRO Honolulu, HI - Asian / French fusion (SIDEBAR: I hate fusion, most fusion restaurants fail because the chef hasn't mastered one cuisine and then they try to combine elements of two or three that they haven't mastered - 99% failure rate if we wish to be honest) This fusion restaurant actually works, cuisines are clearly identifiable, authentic yet melded together in ways that boggle my mind. You will pay through the nose, but for a fusion restaurant that actually delivers it might be worth it. The only restaurant in Hawaii that deserves 5 stars IMHO.
ROVER'S Seattle, WA - Pacific NW ingredients cooked in a French 'style'. Not fusion, not French, not Pacific NW America, it's just Rover's and it's fantastic. Rover's truly uses the freshest indigenous ingredients to create culinary masterpieces. The dishes are consistently excellent, creative, fresh and most importantly full of natural flavors that do not compete or over power one-another.
PASCAL'S ON PONCE Coral Gables, FL - The best French in America - It's not a pretentious stuffy haute French restaurant, more of a slightly upscale neighborhood bistro, but the food trumps most of the top French restaurants in America.
THAI PLACE San Bernardino, CA - A little tiny hole in the wall serving the most authentic Thai food I have had outside of Thailand. Cheap, small (6-7 tables), semi-clean, to-go orders are 1-3 hour waits on weeknights.