These satellites are in MEO (1150km) which is relatively sparsely trafficked. Here is a good visualization http://stuffin.space/ . If you zoom out MEO would be just above the dense sphere of space stuff in LEO.
And if you think 4.5k is a lot wait until you hear about phase 2. Thankfully that is in close LEO and without constant propulsion things would deorbit in a matter of weeks. See https://www.cnbc.com/2018/02/17/spacex-testing-its-own-satel...