As Allan says, it depends on the machine shop as to wether they would check for cam bearing alignment.There are 3 machine shops in useable distance from me,2 would most definately check - the third probably wouldnt.I have used all of them,the job dictating who I use.The best one,(in my opinion) I did about 5 years sub-contract engine building and onsite warranty work for.Interesting stuff,and one of my early questions was about cam bearing alignment on a warped head - I was suprised how the head face was out,but the cam side was ok.Why scrap a head if it can be repaired satisfactorily ? As for cleaning the head before you send it in,you are wasting your time unless your engine shop is a rip off,a good engine shop is much better equipped with cleaning kit than your average "safety Kleen" tank/pressure washer.Whilst they are stipping the head they can often find the causes of failure that the mechanic didnt spot on taking it apart.Also different engines fail in different ways,a good shop will know not to bother pressure testing a Rover V8 head unless asked to by the customer.On a K series it would be commercial suicide not to.
When I mentioned the cost of a head set,it was to make the point that it doesnt end there,there are also head bolts,coolant,(most mechanics dont seem to like catching and reusing it)The cost of doing a job a second time is horrible to all workshop owners/operators - but most seem to grudge the parts costs rather than the lost labour,they would rather stay on in the evening to get the job done and back out.
If you send a head away once a fortnight you are also aware that they dont just get skimmed for warping issuses,corrosion and blowby erosion are just as common.I once Tig welded a 16v Honda head that had rotted away,about 50% of the head face ended up being weld - took about 2 1/2 hrs of welding.I thought it was a complete waste of time,but they skimmed it and did the valves/seats etc and it went back together after passing all their checks.The customer thanked us greatly as it was turned round in 2 days and less than 1/3 the cost of a new one.We never had a warranty claim on that head.
I have to ask why you find it necessary to ask all these questions if you are so sure of the answers and are doing so much engine work ? Are you not allowed into your engine shop or wont they answer your questions.In my experience they are all too happy to give guided tours and explain the various processes.
As for a good debate - I dont think so,this is a forum,the dinner table or the pub are the proper debating places.