Yeah i hear ya but the modifiers realy shine if you group them right.

Heal key: "R"

#showtooltip
/cast [target=jussa, modifier:lalt] Flash Heal
/cast [modifier:lctrl] Prayer of Healing
/cast [target=jussa, modifier:lshift] Heal
/cast [target=jussa, modifier:rctrl] Power Word: Shield
/cast [target=jussa, modifier:rshift] Prayer of Mending
/cast [target=jussa] Renew