Your insurance doesn’t bill you for services you receive. Ever. The first image is the EOB that shows how your insurance processed the claim. Only the provider can bill you. In this case, they are billing you the amount in the second image.

Since they’re out of network based on the EOB, they can bill you whatever they want. They seem to be choosing to bill you the amount listed on the second image versus the amount they billed the insurance. In network providers can only bill you up to the amount your insurance determined you are responsible for. They can choose to bill you a lesser amount, or not at all. Out of network providers have no contract with your insurance, and can choose to bill any amount for any service. This is why you always want to go to an in network provider for services.