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Equity Incentive and Other Plans - Stock Option Activity (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended
Mar. 31, 2024
Dec. 31, 2023
Mar. 31, 2024
2021 Plan      
Number of Shares      
Outstanding (in shares)     4,976
Exercised (in shares)     0
Forfeited or expired (in shares)     0
Outstanding (in shares) 4,976 4,976 4,976
Vested and exercisable (in shares) 2,593   2,593
Weighted Average Exercise Price      
Outstanding (in usd per share)     $ 39.6
Exercised (in usd per share)     0
Forfeited or expired (in usd per share)     0
Outstanding (in usd per share) $ 39.6 $ 39.6 39.6
Vested and exercisable (in usd per share) $ 39.6   $ 39.6
Aggregate Intrinsic Value      
Outstanding $ 0 $ 0 $ 0
Vested and exercisable $ 0   $ 0
Weighted Average Remaining Contractual Term (in years)      
Outstanding 8 years 4 months 20 days 8 years 7 months 20 days  
Vested and exercisable 8 years 4 months 20 days    
2018 Plan      
Number of Shares      
Outstanding (in shares)     116,451
Forfeited or expired (in shares)     (201)
Outstanding (in shares) 116,250 116,451 116,250
Vested and exercisable (in shares) 69,498   69,498
Weighted Average Exercise Price      
Outstanding (in usd per share)     $ 34.24
Forfeited or expired (in usd per share)     135.21
Outstanding (in usd per share) $ 34.06 $ 34.24 34.06
Vested and exercisable (in usd per share) $ 27.89   $ 27.89
Aggregate Intrinsic Value      
Outstanding $ 0 $ 3 $ 0
Vested and exercisable $ 0   $ 0
Weighted Average Remaining Contractual Term (in years)      
Outstanding 4 years 4 months 6 days 4 years 7 months 24 days  
Vested and exercisable 5 years 6 months 14 days