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Royalty Agreements (Details) - USD ($)
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Cost of goods and services sold $ 166,273,000 $ 155,885,000 $ 150,164,000
Royalty      
Cost of goods and services sold $ 22,400,000 $ 16,900,000 $ 16,000,000.0