I'd say only the ads are the issue, but the 'more options' button is kinda hidden. As if it's trying to lull you into accepting all. Also good choice to put it in the middle.
Yes but the other two services are desirable, so I almost clicked accept all. Also the consent button feels like it has a more attractive text than the reject button.
That gray text right above the buttons suggests there there won't really be any negative impact, despite their desperate pleas right above it. I don't know, if this was me, I would definitely click Reject All and then see how messed up the resulting website ended up for me.
The psychological profiling that went into making equivalently styled Accept and Reject buttons look different to a reader is almost certainly intentional, though. Reminds me of the Redact app and how they would show you a crying kitten if you didn't share using their (previously free, now expensive) app on your Twitter profile.