If at HV what is the isolation voltage filament to ground?
I don't think you can get indirectly heated X-ray tubes (too much cathode bombardment).
The filament and the cathode are at the same potential and are ground referenced. Anode is at 60kV.
Not only are they the same potential, they are one and the same thing. The cathode in an xray tube is a directly heated plain tungsten filament. Typically in older machines they are NOT ground referenced though, the HV transformer secondary will have a grounded center tap which is also where the tube current is monitored, the cathode will be at the same potential below ground as the anode is above. Modern inverter machines often have a grounded cathode and use a HV multiplier to power the anode with closed loop feedback to maintain the voltage.
On the old iron transformer machines the filament transformer is a conventional iron transformer with the windings on separate bobbins for HV isolation since the cathode is floating at a high negative voltage. On the modern (dental) machines I've dealt with it is a simple open loop buck regulator that provides a regulated DC voltage.
Normally the filament is run at about incandescent lightbulb filament temperature, it should not be THAT close to instant failure.