I live in Atlanta, and there are literally 3 full tailors within a 5-minute drive, many others offer services at various cleaners, and several of the large department stores (Nordstrom in Phipps, notably) have excellent tailors. A bespoke suit from one of the full-service shops does run $500+++, but the Men's Wearhouse at Perimeter has decent suits and a very good tailor that will make those suits look like $1m on you.
On the other hand, I'm from Mobile, AL, and the tailors my family (dad, uncles, and brother) used as a matter of course have all closed up shop. There may be some that have taken their place, but I'd bet they're quite busy and probably pretty pricey, while offering fewer services like you're describing. The slack has been taken up by private seamstresses who do custom work, from Mardi Gras ball gowns to simple aprons etc (the gown makers can have years-long waitlists).
I actually looked into having a pair of custom Levi's made by Levi Strauss Inc, and I was surprised to find they can go for close to $200, but apparently that's what custom/bespoke clothes cost (I did NOT go for that). In the early 90's I had some shirts made by a tailor in Chicago named Paul Chang, they were $45 each, and I almost choked on that price (but I still have them and they look great - the style is bit loose and big vs today, but still ...).
I guess my point is that the trades follow the money, and without many other people who want that service (and the quality it suggests), you may have to go farther afield to get it.
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