| 1. | 3. | 7. | Columbia (Mo.) (B) | St. Louis Pharmacy | Columbia (Mo.) (B) | B | A | A | Kyla Bertschinger, Brianna Haller, Mikayla Sehlmeyer, Ebony Kimmins | Daisy Connor, Corissa Tory, Haeley Pines, Alexandria Nagle | Allison Wakeland, Brooke Anthonies, Stevi Price, Alyssa McPike | 8:13:29.607 | 13:13:35.5814 | 13:34.96 |
| 2. | 4. | 3. | Hannibal-LaGrange (B) | Hannibal-LaGrange (B) | Lyon | B | B | A | Shelby Kallem, Destiny McClintock, Lindsey Lebel, Lauren Sisco | Kyla Bertschinger, Brianna Haller, Mikayla Sehlmeyer, Ebony Kimmins | Allison Wakeland, Brooke Anthonies, Stevi Price, Alyssa McPike | 13:34.96 | 14:03.1316 | 13:13:52.171 |
| 3. | 5. | 1. | Truman | Hannibal-LaGrange (B) | Columbia (Mo.) | A | B | B | Reese Howard, Natalie Smith, Sophie Oxandale, Madeline Bostick | Kyla Bertschinger, Brianna Haller, Mikayla Sehlmeyer, Ebony Kimmins | Shelby Kallem, Destiny McClintock, Lindsey Lebel, Lauren Sisco | 13:13:35.5814 | 13:13:35.5814 | 13:13:52.171 |
| 4. | 4. | 1. | Hannibal-LaGrange | Truman | Columbia (Mo.) (B) | A | B | A | Elle Hudelson, McKinley Christopherson, Kelsey Mitchell, Sierra St. Aubyn | Grace Andritsch, Harley Nale, Courtney Richardson, Kimi Putnam | Kyla Bertschinger, Brianna Haller, Mikayla Sehlmeyer, Ebony Kimmins | 13:13:52.171 | 8:13:29.607 | 8:13:29.607 |
| 5. | 5. | 3. | St. Louis Pharmacy | William Woods | Columbia (Mo.) | A | B | A | Allison Wakeland, Brooke Anthonies, Stevi Price, Alyssa McPike | Kyla Bertschinger, Brianna Haller, Mikayla Sehlmeyer, Ebony Kimmins | Daisy Connor, Corissa Tory, Haeley Pines, Alexandria Nagle | 13:56.06 | 13:13:52.171 | 8:13:29.607 |
| 6. | 3. | 8. | William Woods | William Woods | Lyon | A | B | A | Grace Andritsch, Harley Nale, Courtney Richardson, Kimi Putnam | Kyla Bertschinger, Brianna Haller, Mikayla Sehlmeyer, Ebony Kimmins | Elle Hudelson, McKinley Christopherson, Kelsey Mitchell, Sierra St. Aubyn | 14:03.1316 | 13:13:35.5814 | 13:56.06 |
| 7. | 3. | 6. | Columbia (Mo.) | St. Louis Pharmacy | Hannibal-LaGrange | A | A | A | Jada O'donnell, Madalyn Ford, Daylin Huebotter, Naomi Payne | Daisy Connor, Corissa Tory, Haeley Pines, Alexandria Nagle | Allison Wakeland, Brooke Anthonies, Stevi Price, Alyssa McPike | 47:14:20.746 | 47:14:20.746 | 47:14:20.746 |
| 8. | 8. | 1. | Lyon | Columbia (Mo.) | St. Louis Pharmacy | A | A | A | Daisy Connor, Corissa Tory, Haeley Pines, Alexandria Nagle | Grace Andritsch, Harley Nale, Courtney Richardson, Kimi Putnam | Kyla Bertschinger, Brianna Haller, Mikayla Sehlmeyer, Ebony Kimmins | 19:15:09.8757 | 14:03.1316 | 8:13:29.607 |
