Cockroach Labs used AI coding agents to add IBM Db2 support to MOLT, their database migration tool, in under two days for $4,172—164x faster and 38x cheaper than the nine-month, $160K effort for Oracle support. The work was orchestrated through MOLT Sinai, a hospital-themed quality-assurance framework that decomposed the task into 32 sub-issues, merged 27 pull requests with 55 review cycles, and maintained production-grade code standards.