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Share Based Payments - Summary of Stock Option Activity (Details) - USD ($)
$ / shares in Units, $ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]      
Number of Stock Options, Beginning balance outstanding 99,018 94,475  
Number of Stock Options, Granted 42,988 33,337  
Number of Stock Options, Forfeited   (13,939)  
Number of Stock Options Forfeited/Cancelled (28,448)    
Number of Stock Options, Exercised   (14,855)  
Number of Stock Options, Ending balance outstanding 113,558 99,018 94,475
Number of Stock Options, Exercisable 57,725    
Weighted Average Remaining Contractual Life 7 years 9 months 7 years 9 months 10 days 5 years 1 month 28 days
Weighted Average Remaining Contractual Life, Exercisable 6 years 6 months 21 days    
Weighted Average Exercise Price, Beginning balance outstanding $ 236.63 $ 249.87  
Weighted Average Exercise Price, Granted 15.20 162.74  
Weighted Average Exercise Price, Forfeited   298.55  
Weighted Average Exercise Price, Forfeited/Cancelled 210.57    
Weighted Average Exercise Price, Exercised   96.95  
Weighted Average Exercise Price, Ending balance outstanding 159.33 $ 236.63 $ 249.87
Weighted Average Exercise Price, Exercisable $ 117.90    
Aggregate Intrinsic Value, Beginning balance outstanding   $ 8,308  
Aggregate Intrinsic Value, Ending balance outstanding     $ 8,308