| Elk River to Punta Gorda (Florida) | 1,423.44 mi (2,290.80 km) |
| Elk River to Puyallup (Washington) | 1,370.36 mi (2,205.38 km) |
| Elk River to Queen Creek (Arizona) | 1,271.03 mi (2,045.53 km) |
| Elk River to Queens (New York) | 1,044.18 mi (1,680.44 km) |
| Elk River to Quincy (Illinois) | 389.13 mi (626.24 km) |
| Elk River to Quincy (Massachusetts) | 1,140.65 mi (1,835.70 km) |
| Elk River to Raceland (Louisiana) | 1,089.77 mi (1,753.81 km) |
| Elk River to Racine (Wisconsin) | 337.60 mi (543.32 km) |
| Elk River to Radcliff (Kentucky) | 651.17 mi (1,047.95 km) |
| Elk River to Radford (Virginia) | 880.44 mi (1,416.93 km) |
| Elk River to Rahway (New Jersey) | 1,025.24 mi (1,649.96 km) |
| Elk River to Raleigh (North Carolina) | 1,018.86 mi (1,639.70 km) |
| Elk River to Ramona (California) | 1,500.65 mi (2,415.06 km) |
| Elk River to Ramsey (Minnesota) | 7.47 mi (12.03 km) |
| Elk River to Ramsey (New Jersey) | 1,018.93 mi (1,639.81 km) |
