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Custom In-Ear Monitors
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Apart from cost, I'd say the biggest barrier to me getting CIEMs is not finding a good audiologist around here to take ear molds. Beyond that, sending a pair back for remolding if needed would be a big pain as well.
In addition to googling "audiologist" (as suggested by Breezy) try looking for "Hearing Instrument Specialist". People who only sell hearing aids (i.e. not audiologists who can diagnose and treat hearing issues) are often able to make custom impressions.