Equity Incentive Plan Weighted Average Remaining Contractual Life (Details) - $ / shares	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Share-based Compensation Arrangement by Share-based Payment Award
Options, Outstanding, Number	259,958	308,149
Options, Outstanding, Weighted Average Exercise Price	$ 743.30	$ 635.00
Options, Outstanding, Weighted Average Remaining Contractual Term	5 years 3 months 7 days
Options, Exercisable, Number	203,600
$1.00-$450.00 Range of Exercise Price
Share-based Compensation Arrangement by Share-based Payment Award
Options, Outstanding, Number	113,857
Options, Outstanding, Weighted Average Exercise Price	$ 431.30
Options, Outstanding, Weighted Average Remaining Contractual Term	3 years 1 month 9 days
Options, Exercisable, Number	116,997
$450.0-$1000.0 Range of Exercise Price
Share-based Compensation Arrangement by Share-based Payment Award
Options, Outstanding, Number	101,714
Options, Outstanding, Weighted Average Exercise Price	$ 839.04
Options, Outstanding, Weighted Average Remaining Contractual Term	6 years 5 months 15 days
Options, Exercisable, Number	70,316
$1000.0 and above Range of Exercise Price
Share-based Compensation Arrangement by Share-based Payment Award
Options, Outstanding, Number	44,387
Options, Outstanding, Weighted Average Exercise Price	$ 1,324.22
Options, Outstanding, Weighted Average Remaining Contractual Term	8 years 1 month 2 days
Options, Exercisable, Number	16,287