Most food in Alaska is transported into the state from "Outside", and shipping costs make food in the cities relatively expensive. In rural areas, subsistence hunting and gathering is an essential activity because imported food is prohibitively expensive. Though most small towns and villages in Alaska lie along the coastline, the cost of importing food to remote villages can be high, because of the terrain and difficult road conditions, which change dramatically, due to varying climate and precipitation changes. The cost of transport can reach as high as 50¢ per pound ($1.10/kg) or more in some remote areas, during the most difficult times, if these locations can be reached at all during such inclement weather and terrain conditions. The cost of delivering a 1 US gallon (3.8 L) of milk is about $3.50 in many villages where per capita income can be $20,000 or less. Fuel cost per gallon is routinely 20–30¢ higher than the continental United States average, with only Hawaii having higher prices.

What causes food in Alaskan cities to be relatively expensive?