You haven't done the math here. Multiply the numbers out. This is what I'm talking about. How are you supposed to engage with these topics if you're literally recoiling from 7th grade arithmetic? Congratulations, taken on your own terms, you just found 3.6% worth of savings from practitioner costs.
My local grocery store wouldn't even bother issuing a coupon for that small a discount.
This is one example of an aspect where insurance causes costs that are not directly attributable to the insurer in your numbers.
This isn’t seventh grade math. This is kindergarten level cause and effect.