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This publication builds on the original “Indian Country Food Price Index: Exploring Variation in Food Pricing Across Native Communities” that was published by First Nations Development Institute in 2016. It shows that tribal communities in the contiguous United States (or Lower 48), over the 12-month study, paid on average $8.41 more for a basket of food items than the national average. Similarly, in Alaska Native villages, shoppers on average paid $35.84 more when compared to the national average for the same basket of food items. The national average for the basket of items was $23.28.