You can just install supported extensions on Amazon RDS and Kmeans, right.
btree_gin, btree_gist, chkpass, CITEXT, cube, DBLink, dict_int, dict_xsyn, earthdistance, fuzzystrmatch, hstore, intagg, INTArray, ISN, ltree, pgcrypto, pgrowlocks, pg_prewarm, pg_stat_plgtpm, plgtptgpq plv8, PostGIS, postgis_tiger_geocoder, postgis_topology, postgres_fdw, sslinfo, tablefunc, test_parser, tsearch2, unaccent, UUID-OSSP