This feature seems to be correlated to tenure since the more years a user has stayed with the telco, the higher the total amount paid. Both share the trend of having SHAP values peak towards the lower end of the x-axis.
However, another way of accumulating charges is if you have high utilization of telco services. Thus, the telco company should prioritize acquiring and retaining high-value customers. Although the the > 70 USD / month group in Monthly Charges had high churn rates, behavior reversed for customers in the 110-120 USD range.