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Royalty Agreements (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Cost of goods and services sold $ 250,641 $ 257,984 $ 225,264
Royalty      
Cost of goods and services sold $ 32,000 $ 36,900 $ 29,600