Steele and Rocky River are great teams, but in a bigger meet, Medina's #1 and #2 are going to be a lot more important than Rocky Rivers (Medina #1 and #2 finished 1, 7 at Districts with Rocky River's #1 and #2 finishing 13th and 15th)..that will be huge at regionals assuming they race like that again.
Medina clearly did not run their best at Districts which I know a few other teams can say but the point being their potential is high (more on the #5 which as we know plays a role so if this happens again then my #2 prediction for them will be wrong) and I have a feeling they will run strong at Regionals but agree Rocky River and Steele ran great at Districts and both can make it to State.
Now Steele has a very strong #1 and #2 (3rd and 4th at districts) which is better than Medina but I feel experience is Medina's advantage in a meet like Regionals and from Districts, Medina's #3 and #4 beat out theirs at Districts on top of that.