Most of your reaches are very high reaches; Wake and BC are likely closer to reach than match, etc. The bigger issue is you cannot afford most of these places given what you have stated.
Think long and hard about UMD: it is a great in-state school for you, more likely to be affordable for you, and plenty of people go to med school from there and end up very successful.
For Wake, BC, and three of your high reaches, Duke, Vanderbilt and WashU, (and others on here, I just know these well), you will be full-pay and will not qualify for need based aid and will not have any realistic chance at merit aid. The merit aid is rare at those places and is only considered for tippy-top students which you do not appear to be: ie, taken the MOST rigorous course load compared to your classmates, and in the 99th%ile on standardized scores etc, AND stand out phenomenally in other ways(national award, extreme musical talent, likely to be described by teachers as the few-in -a lifetime kids).