This necklace is made with a one of a kind gold canyon and sleeping beauty turquoise with coral accents and a white diamond. The piece is 14ky with a sterling silver collar, please inquire about other chain options. There are various symbols on the medicine mask and behind the stone. The mountains represent healing, rain represents prosperity, lightning represents cleansing, arrow represents protection, the sun represents the new day and a new beginning. Please inquire about all available options.