Dr. Sonawane provided consultancy to Value Analytics Labs on unrelated projects. Dr Graboyes reported receiving grants from the National Cancer Institute, the Triologic Society/American College of Surgeons, and Castle Biosciences and personal fees from the National Cancer Institute and Castle Biosciences outside the submitted work and serving on the editorial board of JAMA Otolaryngology Head & Neck Surgery. Dr. Silvestri has received research funding from Nucleix inc, Progromiq, Delfi inc, Exact sciences and NIH/NCI. He has also received research and consulting funds from Olympus corporation, Biodesix, inc, and AstraZeneca. He has received honoraria from the American College of Chest Physicians, originally sponsored by unrestricted funds by AstraZeneca. Dr. Deshmukh reported providing consultancy to Value Analytics Lab and Merck Inc on unrelated projects.