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Stockholders' Equity - Summary of Option Activity (Detail)
$ / shares in Units, $ in Thousands
9 Months Ended
Sep. 30, 2023
USD ($)
$ / shares
shares
Options Outstanding  
Options outstanding at December 31, 2022 | shares | shares 609,965
Granted | shares | shares 66,069
Exercised | shares | shares (22,872)
Forfeited/expired/cancelled | shares (2,000)
Options outstanding at September 30, 2023 | shares | shares 651,162
Options exercisable at September 30, 2023 | shares | shares 371,782
Vested and expected to vest at September 30, 2023 (1) | shares | shares 637,673 [1]
Weighted-Average Exercise Price Per Share  
Options outstanding at December 31, 2022 | $ / shares $ 71.74
Granted | $ / shares 173.08
Exercised | $ / shares 15.52
Forfeited/expired/cancelled | $ / shares 199.71
Options outstanding at September 30, 2023 | $ / shares 83.6
Options exercisable at September 30, 2023 | $ / shares 61.46
Vested and expected to vest at September 30, 2023 | $ / shares $ 83.18 [1]
Weighted-Average Remaining Contractual Term (in years)  
Vested and expected to vest at September 30, 2023 5 years 8 months 23 days [1]
Aggregate Intrinsic Value  
Vested and expected to vest at September 30, 2023 | $ $ 53,173 [1]
[1] Represents the number of vested options as of September 30, 2023 plus the number of unvested options expected to vest as of September 30, 2023 based on the unvested outstanding options at September 30, 2023 adjusted for estimated forfeiture rates of 8% for awards granted to non-executive level employees and 3% for awards granted to executive level employees.