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Stock Plans and Stock-Based Compensation - Schedule of Stock Options Outstanding and Options Exercisable and Vested (Details) - $ / shares
9 Months Ended 12 Months Ended
Sep. 30, 2019
Dec. 31, 2018
Dec. 31, 2017
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]      
Stock options, outstanding 797,848 1,746,073 2,440,290
Stock options, remaining contractual life (years) 7 years 7 months 24 days 7 years 10 months 20 days  
Stock options, weighted average exercise price $ 26.36 $ 22.43 $ 16.55
Stock options, exercisable 222,219 579,319  
Stock options exercisable, remaining contractual life (years) 6 years 6 months 10 days 6 years 8 months 23 days  
Stock options exercisable, weighted average exercise price $ 18.21 $ 8.13