I am not certain there are any very experienced female genital plastic/cosmetic surgeons in the Seattle area. My program is in Davis, CA, near Sacramento, and I have worked with individuals from the Seattle area (a 1 1/2 hr plane ride via Alaska or Southwest...) You are looking for a surgeon who has performed at least 25-50 full "vaginal rejuvenations" Personally (check website), I have performed >650 labiaplasties + >130 full vaginoplasty/perineoplasties. The cost for combination PP, VP, LP in our office is ~$9250-$9750, less any applicable discounts. This is an "out-the-door" price and INCLUDES anesthesia, supplies, and facility charges. You might check out the weblink, the photos and blogs & call for more information.
Michael P Goodman, MD
Davis, CA, USA