Cloud PBX + Cloud Connector Edition resulting in calls not in service

So I'd actually run both those hybrid commands during the initial configuration and installation of cloud connector, so obviously they didn't help the problem.

When I searched for user sessions, there was nothing found in the time period desipte several attempts at test calls.

The output of the Get-CsTenantHybridConfiguration is below.

Identity                       : Global
HybridPSTNSites                : {Index=1;Name=RAC;EdgeFQDN=ap.rehobothambulance.org;EnableAutoUpdate=True;LastTopologyUpdateTime=09/30/2017 
                                 19:36:58;BitsUpdateTimeWindowList=BitsUpdateDefault;OsUpdateTimeWindowList=OsUpdateDefault}
HybridPSTNAppliances           : {Identity=8eb5905f-e506-4cb9-8cca-1a30a129c409;Name=RACHYPERV;SiteIndex=1;MediationServerIPAddress=192.168.3.212;MediationServerFqdn=MedServer.rac.local;Mediation
                                 ServerGruu=sip:MedServer.rac.local@rehobothambulance.org;gruu;opaque=srvr:MediationServer:Ff5N1ODPQ1C7cKYyZpotzwAA;MaintenanceMode=False;ConfigurationReplicatedOn
                                 =09/30/2017 22:56:26;ConfigurationSnapshot={"EnableBypass":false,"EnableReferSupport":true,"EnableFastFailoverTimer":true,"ForwardCallHistory":false,"ForwardPAI":
                                 false};ConfigurationSnapshotUpdatedOn=09/30/2017 
                                 22:56:38;RegistrationStatus=RegisteredAndDeployed;RegistrationAction=Register;RunningVersion=2.0.1;RunningStatus=Running;RunningError=;OsUpdatedOn=10/01/2017 
                                 04:54:47;DeployedOn=09/30/2017 22:45:22;StatusUpdatedOn=10/01/2017 
                                 04:54:47;DeploymentVersion=2.0.1;DeploymentStatus=Deployed;DeploymentError=;DeploymentStartTime=09/30/2017 
                                 19:39:16;OsUpdateStatus=None;OsUpdateError=;OsUpdateStartTime=10/01/2017 04:11:35}
TenantUpdateTimeWindows        : {Name=BitsUpdateDefault;Type=Weekly;StartTime=00:00:00;Duration=1.00:00:00;DayOfMonth=;WeeksOfMonth=;DaysOfWeek=1, 
                                 Name=OsUpdateDefault;Type=Monthly;StartTime=00:00:00;Duration=1.00:00:00;DayOfMonth=;WeeksOfMonth=1;DaysOfWeek=1}
PeerDestination                : ap.rehobothambulance.org
HybridConfigServiceInternalUrl : 
HybridConfigServiceExternalUrl : 
UseOnPremDialPlan              : False

One other thing I noticed when I used Get-CSOnlineUser to look at my user configuration is the users are all using InternationalCallsDisallowed, which is OK since we don't need international calling.   When I look at the voice routing policy for InternationalCallsDisallowed, I noticed the following:

Identity                : Tag:InternationalCallsDisallowed
PstnUsages              : {}
Description             : 
Name                    : InternationalCallsDisallowed
AllowInternationalCalls : False
HybridPSTNSiteIndex     : 0

And when I looked at Get-CsHybridPstnSite, I see the following: 

RunspaceId               : 605d99cc-f1be-47ef-9f35-7b08ef10d734
Identity                 : RAC
EdgeFQDN                 : ap.rehobothambulance.org
Index                    : 1
EnableAutoUpdate         : True
LastTopologyUpdateTime   : 9/30/2017 7:36:58 PM
BitsUpdateTimeWindowList : {BitsUpdateDefault}
OsUpdateTimeWindowList   : {OsUpdateDefault}

It looks like the PSTN Site Index has a mismatch...  The voicerouting policy is matching to index 0, but the PSTN site shows that it's index is 1...

The PstnUsages is empty...  Is this potentially why calls aren't routing out to the PSTN?  The voice routing policy doens't know what to use it for..