The message queuing server process on both servers processing outbound call traffic routing requests failed, which in turn resulted in a high level of errors with the dialplan endpoint.
This, in turn, caused the load balancer for this endpoint to mark both servers as out of service. Although this should not have affected any inbound calls, these servers also handle post-call CDR processing for both inbound and outbound calls, which would have caused an increase in load on inbound call SBCs and some delays or possible call failures.