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Stock-Based Compensation - Stock Option Activity (Detail) - USD ($)
$ / shares in Units, $ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2019
Dec. 31, 2018
Options    
Beginning balance (in shares) 466,677  
Granted (in shares) 134,450  
Exercised (in shares) (468)  
Canceled (in shares) (4,868)  
Ending balance (in shares) 595,791 466,677
Exercisable at period end (in shares) 388,581  
Weighted Average Exercise Price    
Beginning balance (in dollars per share) $ 61.04  
Granted (in dollars per share) 70.44  
Exercised (in dollars per share) 64.54  
Canceled (in dollars per share) 69.40  
Ending balance (in dollars per share) 63.07 $ 61.04
Exercisable (in dollars per share) $ 54.88  
Weighted Average Remaining Contractual Life    
Outstanding, weighted average remaining contractual life (in years) 6 years 2 months 12 days 5 years 8 months 12 days
Exercisable weighted average remaining contractual life (in years) 5 years 2 months 12 days  
Aggregate Intrinsic Value    
Beginning balance $ 5,115  
Granted 210  
Exercised (3)  
Canceled 0  
Ending balance 5,321 $ 5,115
Exercisable $ 6,652