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Revenue - Summary of Total Revenue by Type of Service (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Disaggregation of Revenue [Line Items]        
Total revenue $ 180,566 $ 199,299 $ 550,224 $ 596,862
Screening services        
Disaggregation of Revenue [Line Items]        
Total revenue 178,809 197,870 544,330 591,900
Other services        
Disaggregation of Revenue [Line Items]        
Total revenue $ 1,757 $ 1,429 $ 5,894 $ 4,962