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Stock-Based Compensation - Stock Option Activity (Detail) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Options    
Beginning balance (in shares) 466,677  
Granted (in shares) 128,555  
Exercised (in shares) (734)  
Canceled (in shares) (228)  
Ending balance (in shares) 594,270 466,677
Exercisable at period end (in shares) 355,222  
Weighted Average Exercise Price    
Beginning balance (in dollars per share) $ 61.04  
Granted (in dollars per share) 72.85  
Exercised (in dollars per share) 64.54  
Canceled (in dollars per share) 74.38  
Ending balance (in dollars per share) 63.58 $ 61.04
Exercisable (in dollars per share) $ 56.00  
Weighted Average Remaining Contractual Life    
Outstanding, weighted average remaining contractual life (in years) 6 years 5 months 5 years 8 months
Exercisable weighted average remaining contractual life (in years) 5 years 2 months  
Aggregate Intrinsic Value    
Beginning balance $ 5,917  
Granted 112  
Exercised 7  
Canceled 0  
Ending balance 6,027 $ 5,917
Exercisable $ 6,295