| 1. | 3. | 2. | 8. | Doane | Morningside | Northwestern (Iowa) | Hastings | Emily Harsin, Delaney Lemkau, Kalyn Brannagan, MacKenzie Brandl | Bailey Christensen, Dayris Bonillas, Aubrey Frederick, Caitlyn Cotton | Bailey Christensen, Dayris Bonillas, Aubrey Frederick, Caitlyn Cotton | Mika Brees, Miranda Rathjen, Tori Beran, Jamie Nikodym | 3:55.289 | 3:59.7190 | 3:59.7190 | 4:03.40 | 451002 | 111 | 144 | 451002 |
| 2. | 8. | 7. | 2. | Morningside | Dordt | Dordt | Concordia (Neb.) | Eleka Joseph, Rose Pelelo-Ray, Clare Kortlever, Michelle Mumm | Joscelyn Wind, Sarah Krysl, Jenna Stephens, Kate Wnek | Joscelyn Wind, Sarah Krysl, Jenna Stephens, Kate Wnek | Eleka Joseph, Rose Pelelo-Ray, Clare Kortlever, Michelle Mumm | 3:59.634 | 3:59.634 | 4:01.358 | 4:01.358 | 680 | 451002 | 111 | 610 |
| 3. | 4. | 2. | 4. | Concordia (Neb.) | Dordt | Doane | Doane | Mika Brees, Miranda Rathjen, Tori Beran, Jamie Nikodym | Joscelyn Wind, Sarah Krysl, Jenna Stephens, Kate Wnek | Emily Sorensen, Katie Landhuis, Megan Willroth, Emily Van Ginkel | Ashley Henkenius, Johanna Vaske, Cassidy Schwab, Angela Dopita | 3:59.7190 | 3:59.7190 | 3:59.7190 | 3:59.7190 | 610 | 610 | 451002 | 144 |
| 4. | 1. | 2. | 7. | Northwestern (Iowa) | Northwestern (Iowa) | Concordia (Neb.) | Morningside | Emily Sorensen, Katie Landhuis, Megan Willroth, Emily Van Ginkel | Kaylynn Anziano, Aubrey Rabenberg, Samantha Schuyler, Callie Heath | Emily Harsin, Delaney Lemkau, Kalyn Brannagan, MacKenzie Brandl | Mika Brees, Miranda Rathjen, Tori Beran, Jamie Nikodym | 4:01.358 | 3:59.7190 | 3:55.289 | 3:55.289 | 68518 | 254 | 68518 | 451002 |
| 5. | 1. | 2. | 1. | Hastings | Briar Cliff | Hastings | Dordt | Bailey Christensen, Dayris Bonillas, Aubrey Frederick, Caitlyn Cotton | Bailey Christensen, Dayris Bonillas, Aubrey Frederick, Caitlyn Cotton | Emily Sorensen, Katie Landhuis, Megan Willroth, Emily Van Ginkel | Emily Sorensen, Katie Landhuis, Megan Willroth, Emily Van Ginkel | 38:04:02.17 | 3:59.634 | 4:16.107 | 38:04:02.17 | 144 | - | 451002 | 634 |
| 6. | 1. | 3. | 7. | Dordt | Dakota Wesleyan | Mount Marty | Northwestern (Iowa) | Joscelyn Wind, Sarah Krysl, Jenna Stephens, Kate Wnek | Ashley Henkenius, Johanna Vaske, Cassidy Schwab, Angela Dopita | Bailey Christensen, Dayris Bonillas, Aubrey Frederick, Caitlyn Cotton | Emily Harsin, Delaney Lemkau, Kalyn Brannagan, MacKenzie Brandl | 4:03.40 | 4:03.40 | 3:59.7190 | 4:03.40 | 634 | 634 | 144 | 610 |
| 7. | 9. | 7. | 9. | Dakota Wesleyan | Doane | Hastings | Briar Cliff | Kaylynn Anziano, Aubrey Rabenberg, Samantha Schuyler, Callie Heath | Bailey Christensen, Dayris Bonillas, Aubrey Frederick, Caitlyn Cotton | Eleka Joseph, Rose Pelelo-Ray, Clare Kortlever, Michelle Mumm | Kiana Hoff-Au, Mikayla Prouty, Katherine Glenn, Genevieve Clark | 4:16.107 | 38:04:02.17 | 4:29.18 | 3:55.289 | 254 | 254 | 254 | 144 |
| 8. | 5. | 2. | 9. | Mount Marty | Dordt | Northwestern (Iowa) | Dakota Wesleyan | Kiana Hoff-Au, Mikayla Prouty, Katherine Glenn, Genevieve Clark | Joscelyn Wind, Sarah Krysl, Jenna Stephens, Kate Wnek | Ashley Henkenius, Johanna Vaske, Cassidy Schwab, Angela Dopita | Emily Harsin, Delaney Lemkau, Kalyn Brannagan, MacKenzie Brandl | 14:04:21.81 | 3:59.634 | 3:55.289 | 14:04:21.81 | 111 | 254 | 254 | 254 |
| 9. | 8. | 4. | 2. | Briar Cliff | Mount Marty | Briar Cliff | Doane | Ashley Henkenius, Johanna Vaske, Cassidy Schwab, Angela Dopita | Mika Brees, Miranda Rathjen, Tori Beran, Jamie Nikodym | Mika Brees, Miranda Rathjen, Tori Beran, Jamie Nikodym | Ashley Henkenius, Johanna Vaske, Cassidy Schwab, Angela Dopita | 4:29.18 | 4:03.40 | 4:29.18 | 4:16.107 | - | 68518 | 610 | 680 |
