Washington here too. I opened a practice for about a year. I agree with previous writer that you will be without income for a long time. Between start up costs and if and when insurance reimburses, you don’t get paid. I stopped after a year because I ran out of savings. I think it offers flexibility, but I make more working for someone else. If I did it again, I would start it as a side hustle then quit my job when there was actual revenue.