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Fair Value - Change in Carrying Value Associated with Contingent Payment Arrangements Level 3 Instruments (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]    
Balance as of beginning of period $ 22,911 $ 7,336
Addition 4,400 17,384
Accretion 3,105 2,542
Changes in estimates (1,366) (3,051)
Payments (1,300) (1,300)
Balance as of end of period $ 27,750 $ 22,911