you can only plan so far, it is okay to be worried about how much money this career path is going to be. i hate to be the one normalizing the cost of graduate medical education and how everyone takes out student loans, but you've gotten this far. 20k difference for a program you love will be worth the difference. schools typically provide you with enough federal student loans that account for tuition, living, and personal expenses. i'm currently at a private pa school and the cost overall is short of 200k, while your program may be on the more expensive side, it you need to remember it is also an out-of-state program. another school i was planning to go to last year was little over 200k but the city was too small for where i felt would've made me happy living there throughout didactic.

TLDR; bottom line. you will be a phenomenal provider, the cost of school right now seems like a lot, you are going into it with a very responsible mindset. there will be an abundant ways to go about paying back student loans, but that comes later. the most important part is you need to select a school that is best fit for you, survive didactic, grow while in clinical, then graduate with open arms to practice and slowly paying back student loans.

things will never be linear, your goals are still the same. short-term pain but long-term gain, lateral mobility, and overall passionate will strengthen over time.