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Royalty Agreements (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Cost of goods and services sold $ 271,298 $ 250,641 $ 257,984
Royalty      
Cost of goods and services sold $ 39,000 $ 32,000 $ 36,900