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Royalty Agreements (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Cost of goods and services sold $ 225,264 $ 166,273 $ 155,885
Royalty      
Cost of goods and services sold $ 29,600 $ 22,400 $ 16,900