Do you have any idea what happened on test day? What were your FL practice scores? Although you haven’t shared any specifics in the EC category your GPAs are great and you say your ECs are. So maybe you should consider a retest. You’d have to score a 512+ to make up for your very low 498. A 498 is too low for MD. If you are open to DO apply to @Faha’s list and see what happens. If accepted you won’t need a retest. California is a tough state to be from!