| Middle Valley to Punta Gorda (Florida) | 602.41 mi (969.48 km) |
| Middle Valley to Puyallup (Washington) | 2,074.83 mi (3,339.12 km) |
| Middle Valley to Queen Creek (Arizona) | 1,511.08 mi (2,431.85 km) |
| Middle Valley to Queens (New York) | 729.26 mi (1,173.63 km) |
| Middle Valley to Quincy (Illinois) | 471.19 mi (758.31 km) |
| Middle Valley to Quincy (Massachusetts) | 904.93 mi (1,456.35 km) |
| Middle Valley to Raceland (Louisiana) | 492.64 mi (792.83 km) |
| Middle Valley to Racine (Wisconsin) | 539.51 mi (868.26 km) |
| Middle Valley to Radcliff (Kentucky) | 186.49 mi (300.13 km) |
| Middle Valley to Radford (Virginia) | 291.16 mi (468.57 km) |
| Middle Valley to Rahway (New Jersey) | 702.32 mi (1,130.28 km) |
| Middle Valley to Raleigh (North Carolina) | 371.17 mi (597.34 km) |
| Middle Valley to Ramona (California) | 1,810.57 mi (2,913.84 km) |
| Middle Valley to Ramsey (Minnesota) | 819.99 mi (1,319.64 km) |
| Middle Valley to Ramsey (New Jersey) | 723.91 mi (1,165.01 km) |
