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Stock Incentive Plans and Stock Based Compensation - Activity Under Stock Incentive Plan (Details) - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Stock Options Outstanding    
Beginning balance (in shares) 3,586,688 3,369,502
Granted (in shares) 263,645 841,336
Exercised (in shares) (148,735) (414,890)
Forfeited/Cancelled (in shares) (281,758) (209,260)
Ending balance (in shares) 3,419,840 3,586,688
Options exercisable, number of options (in shares) 2,032,859  
Exercise Price    
Beginning balance (in dollars per share) $ 34.75 $ 28.11
Granted (in dollars per share) 22.35 48.97
Exercised (in dollars per share) 5.59 10.13
Forfeited/Cancelled (in dollars per share) 34.08 33.97
Ending balance (in dollars per share) 35.11 $ 34.75
Options exercisable, weighted average exercise price (in dollars per share) $ 30.09  
Stock Option Activity, Additional Disclosures    
Options outstanding, weighted average remaining contractual term 7 years 6 months  
Options outstanding, aggregate intrinsic value $ 12,643  
Options exercisable, weighted average remaining contractual term 7 years  
Options exercisable, aggregate intrinsic value $ 11,713