| 1. | 6. | 3. | Avila | Clarke | Avila | Drevon Carter, Tenka Stringer, Murielle Mercier, Penny Fenn | Kennedy King, Jessica VanZuuk, Katie Roberts, Tatum Nearmyer | Heaven Buckner, Justis Jakes, Michelle Reyes, Bree'Anna Lee | 9:09:36.585 | 9:09:36.585 | 29:10:13.8157 | 10 | 91841 | 1 |
| 2. | 9. | 4. | Benedictine (Kan.) | Grand View | Culver-Stockton | Clare Smith, Maria Doyle, Melanie Cozzi, Katie Weaver | Heaven Buckner, Justis Jakes, Michelle Reyes, Bree'Anna Lee | Danielle McNeal, Jocelyn Stillwell, Andrea Mendez, Kaitlyn Wolter | 34:09:44.878 | 54:10:04.5597 | 26:10:57.51 | 91841 | 7642 | 10 |
| 3. | 5. | 9. | Mount Mercy | Mount Mercy | Grand View | McKenna Johnson, Kathryn Vander Poel, Mady Roth, Andrea Ertz | Danielle McNeal, Jocelyn Stillwell, Andrea Mendez, Kaitlyn Wolter | Clare Smith, Maria Doyle, Melanie Cozzi, Katie Weaver | 9:49.1018 | 11:03.7888 | 34:09:44.878 | 7642 | 23 | 1 |
| 4. | 3. | 9. | MidAmerica Nazarene | Central Methodist | MidAmerica Nazarene | Danielle McNeal, Jocelyn Stillwell, Andrea Mendez, Kaitlyn Wolter | Alyssa Thomas, Lisa Sauter, Abby Cross, Brooke Van Voorhis | Katie Neff, Kennedy Merryman, Sam Shipp, Taylor Vaughan | 1:09:56.47 | 9:49.1018 | 26:10:57.51 | 175 | 9400 | 175 |
| 5. | 10. | 10. | Evangel | William Penn | William Penn | Emily Standage, Anne Anibal, Leslie Perona, Caitlin Iwanowski | Danielle McNeal, Jocelyn Stillwell, Andrea Mendez, Kaitlyn Wolter | Emily Standage, Anne Anibal, Leslie Perona, Caitlin Iwanowski | 54:10:04.5597 | 11:03.3690 | 9:09:36.585 | 9400 | 7642 | - |
| 6. | 3. | 2. | Grand View | Avila | William Penn | Kennedy King, Jessica VanZuuk, Katie Roberts, Tatum Nearmyer | Danielle McNeal, Jocelyn Stillwell, Andrea Mendez, Kaitlyn Wolter | McKenna Johnson, Kathryn Vander Poel, Mady Roth, Andrea Ertz | 10:09.15 | 29:10:13.8157 | 11:03.7888 | 43 | - | 10 |
| 7. | 10. | 8. | Central Methodist | MidAmerica Nazarene | William Penn | Alyssa Thomas, Lisa Sauter, Abby Cross, Brooke Van Voorhis | Emily Standage, Anne Anibal, Leslie Perona, Caitlin Iwanowski | Emily Standage, Anne Anibal, Leslie Perona, Caitlin Iwanowski | 29:10:13.8157 | 10:09.15 | 9:09:36.585 | 23 | - | 91841 |
| 8. | 3. | 2. | Clarke | Mount Mercy | William Penn | Emily Riesenberg, Hannah Rehder, Mariah Pellino, Annie Knobloch | McKenna Johnson, Kathryn Vander Poel, Mady Roth, Andrea Ertz | Emily Riesenberg, Hannah Rehder, Mariah Pellino, Annie Knobloch | 26:10:57.51 | 54:10:04.5597 | 9:49.1018 | 1 | 1 | - |
| 9. | 6. | 1. | William Penn | William Penn | Grand View | Heaven Buckner, Justis Jakes, Michelle Reyes, Bree'Anna Lee | McKenna Johnson, Kathryn Vander Poel, Mady Roth, Andrea Ertz | Emily Standage, Anne Anibal, Leslie Perona, Caitlin Iwanowski | 11:03.3690 | 54:10:04.5597 | 10:09.15 | - | 1 | 1 |
| 10. | 10. | 4. | Culver-Stockton | MidAmerica Nazarene | Evangel | Katie Neff, Kennedy Merryman, Sam Shipp, Taylor Vaughan | McKenna Johnson, Kathryn Vander Poel, Mady Roth, Andrea Ertz | Kennedy King, Jessica VanZuuk, Katie Roberts, Tatum Nearmyer | 11:03.7888 | 9:09:36.585 | 10:09.15 | - | - | 7642 |
