| Middle River to Spout Springs (North Carolina) | 315.66 mi (508.00 km) |
| Middle River to Spring (Texas) | 1,249.51 mi (2,010.90 km) |
| Middle River to Spring Creek (Nevada) | 2,057.01 mi (3,310.44 km) |
| Middle River to Spring Hill (Florida) | 827.68 mi (1,332.02 km) |
| Middle River to Spring Hill (Tennessee) | 625.49 mi (1,006.64 km) |
| Middle River to Spring Lake (North Carolina) | 320.23 mi (515.36 km) |
| Middle River to Spring Valley (California) | 2,291.47 mi (3,687.76 km) |
| Middle River to Spring Valley (Nevada) | 2,118.16 mi (3,408.86 km) |
| Middle River to Spring Valley (New York) | 175.20 mi (281.96 km) |
| Middle River to Springboro (Ohio) | 416.78 mi (670.74 km) |
| Middle River to Springdale (Arkansas) | 990.96 mi (1,594.79 km) |
| Middle River to Springdale (New Jersey) | 85.66 mi (137.86 km) |
| Middle River to Springdale (Ohio) | 430.22 mi (692.36 km) |
| Middle River to Springfield (Illinois) | 704.67 mi (1,134.06 km) |
| Middle River to Springfield (Massachusetts) | 279.36 mi (449.58 km) |
