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Royalty Agreements (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cost of goods and services sold $ 257,984 $ 225,264 $ 166,273
Royalty      
Cost of goods and services sold $ 36,900 $ 29,600 $ 22,400