What are the top best budget hybrid midsize SUVs?

Something under 40,000 dollars or 40,000 dollars and from brands like Toyota, BMW, ford, or Honda.

Toyota Highlander hybrid is the only one available based on the brands you mentioned.
BMW, Honda, and Ford never made a hybrid SUV. Although BMW offers a diesel engine on their X-line SUVs which may get comparable mpg.

Lexus RX