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Stockholders' Equity - Additional Information (Detail) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Dec. 31, 2021
Dec. 31, 2018
Stockholders Equity Note Disclosure [Line Items]            
Stock-based compensation expense $ 6,154 $ 6,792 $ 21,054 $ 20,476    
Incentive options, term     10 years      
Stock options, outstanding 603,939 658,600 603,939 658,600 625,107  
Restricted stock units, outstanding 532,256   532,256   606,685  
Aggregate intrinsic value of stock options exercised     $ 9,800 $ 14,500    
Weighted average grant date fair value of share-based awards granted     $ 76.64 $ 88.01    
Total fair value of stock options vested     $ 3,100 $ 2,600    
Total unrecognized compensation cost $ 63,900   $ 63,900      
Unrecognized compensation cost, weighted average remaining requisite service period     2 years 11 months 4 days      
Number of unvested options and restricted stock units 1,786,671   1,786,671      
2018 Plan            
Stockholders Equity Note Disclosure [Line Items]            
Common stock shares reserved for Issuance           2,778,000
Incentive options, vesting period 1,953,159   1,953,159      
Employee Stock Option | Minimum            
Stockholders Equity Note Disclosure [Line Items]            
Incentive options, vesting period     3 years      
Employee Stock Option | Minimum | Vest Over Three Year            
Stockholders Equity Note Disclosure [Line Items]            
Incentive options, vesting percentage     20.00%      
Employee Stock Option | Maximum            
Stockholders Equity Note Disclosure [Line Items]            
Incentive options, vesting period     5 years      
Employee Stock Option | Maximum | Vest Over Three Year            
Stockholders Equity Note Disclosure [Line Items]            
Incentive options, vesting percentage     33.00%      
Non-Employee Directors            
Stockholders Equity Note Disclosure [Line Items]            
Incentive options, vesting period     9 years      
Unvested Options            
Stockholders Equity Note Disclosure [Line Items]            
Incentive options, vesting period     5 years      
Restricted Stock Units and Performance Stock Units            
Stockholders Equity Note Disclosure [Line Items]            
Restricted stock units, outstanding 532,256 619,761 532,256 619,761    
Closing price of common stock $ 187.11   $ 187.11      
Aggregate intrinsic value of restricted stock units vested     $ 40,400 $ 39,200    
Weighted average grant date fair value of restricted stock units granted     $ 191.55 $ 211.34    
Total grant date fair value of restricted stock units vested     $ 19,700 $ 10,800    
RestrictedStockUnitsRSUMember            
Stockholders Equity Note Disclosure [Line Items]            
Closing price of common stock $ 187.11   $ 187.11