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Summary of Significant Accounting Policies - Revenue by Major Payers (Details) - Customer Concentration Risk
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Medicare | Revenue Benchmark          
Disaggregation of Revenue [Line Items]          
Percent of total revenue 19.00% 20.00% 19.00% 21.00%  
Medicare Advantage | Revenue Benchmark          
Disaggregation of Revenue [Line Items]          
Percent of total revenue 13.00% 11.00% 13.00% 11.00%  
Blue Shield | Revenue Benchmark          
Disaggregation of Revenue [Line Items]          
Percent of total revenue 12.00% 12.00% 12.00% 12.00%  
Blue Shield | Accounts Receivable          
Disaggregation of Revenue [Line Items]          
Percent of total revenue     17.00%   11.00%
United Healthcare | Accounts Receivable          
Disaggregation of Revenue [Line Items]          
Percent of total revenue     16.00%    
Janssen (SIMPONI) | Revenue Benchmark          
Disaggregation of Revenue [Line Items]          
Percent of total revenue   13.00%   12.00%  
Janssen (SIMPONI) | Accounts Receivable          
Disaggregation of Revenue [Line Items]          
Percent of total revenue     11.00%   35.00%