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Income Taxes - Effective Income Tax Rate Reconciliation (Details)
9 Months Ended 12 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income Taxes          
Income at US statutory rate     21.00% 21.00% 21.00%
State taxes, net of federal benefit     12.80% 13.90% 12.00%
Permanent differences     (1.20%) (1.70%) (1.40%)
Tax law change     0.00% 0.00% 0.50%
Foreign rate differential     0.20% 0.10% 0.00%
Valuation allowance     (33.90%) (33.90%) (33.60%)
Other     (0.10%) 0.00% 0.90%
Total income taxes (3.50%) (1.10%) (1.20%) (0.60%) (0.60%)