> Heat exchange is used instead of refrigerating the coolant.
There are some systems that pipe refrigerant around the building, but they’re relatively uncommon (VRF or variable refrigerant flow if you want more details).
Glycol and water is cheaper than refrigerant so there’s usually a chilled water loop that passes thru a heat exchanger that interfaces with a chiller (vapor compression refrigeration) to reject the heat from the chilled water loop.
This eliminates the need for evaporative cooling towers.