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Summary of Significant Accounting Policies and Other Items - Depreciation (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Depreciation expense      
Selling, general and administrative expenses $ 457 $ 876 $ 683
Total depreciation and amortization 36,308 40,520 38,854
Product revenue      
Depreciation expense      
Cost of sales 3,176 3,506 3,304
Rental revenue      
Depreciation expense      
Cost of sales 25,812 28,063 24,881
Field service and other revenue      
Depreciation expense      
Cost of sales $ 6,863 $ 8,075 $ 9,986