After some pondering, I have an answer to my own question (to which I welcome feedback).  I think the most straight-forward way to handle this is to create a new factor that is a cross-combination of the two factors of interest.  And so, the data would look like this:


    ID   Factor A  Factor B   Score    Cross-Factor
    1      a        alpha       0.1       a-alpha
    2      a        alpha       0.2       a-alpha
    3      b        beta        0.3       b-beta
    4      b        gamma       0.4       b-gamma
    5      b        delta       0.5       b-delta
    6      c        beta        0.6       c-beta
    7      c        gamma       0.7       c-gamma
    8      c        delta       0.8       c-delta

The model would then include a single factor with 7 levels.  I can interpret the factor relative to the a-alpha level using contrasts to extract the change from baseline to whatever combination of the cross-factor I'm interested in, or between means of other level comparisons.  In fact, I could set up the following contrast matrix using [the method outlined on the UCLA page][1], as one example of a contrast matrix.

*Original Matrix*

         [,1] [,2] [,3] [,4] [,5] [,6] [,7]
    [1,]    1    3    3    1    0    0    0
    [2,]    0   -1    0    0    0    0    1
    [3,]    0   -1    0    0    1    0   -1
    [4,]    0   -1    0    0   -1    0    0
    [5,]    0    0   -1    0    0    0    1
    [6,]    0    0   -1    0    0    1   -1
    [7,]    0    0   -1    1    0   -1    0

If this matrix is transposed, solved, and the first column removed to create a contrast matrix, the resulting coefficients would be the following comparisons:

 1. Intercept is the baseline mean value (*a-alpha*)
 2. Coefficient 1: Difference between baseline and average of all severity levels of *b*
 3. Coefficient 2: Difference between baseline and average of all severity levels of *c*
 4. Coefficient 3: Difference between baseline and the most severe form of *c* (*c-delta*)
 5. Coefficient 4: Difference between the moderate and most severe forms of *b*
 6. Coefficient 5: Difference between the moderate and most severe forms of *c*
 7. Coefficient 6: Difference between mean of both mild forms and the mean of the moderate forms.


  [1]: http://www.ats.ucla.edu/stat/r/library/contrast_coding.htm#User