<div class="items">
  <div class="item1">
    <div class="smoll"></div>
    <div class="smoll"></div>
  </div>
  <div class="item2">
    <div class="smoll"></div>
    <div class="smoll"></div>
  </div>
  <div class="item3">
    <div class="smoll"></div>
    <div class="smoll"></div>
  </div>

  <div class="big-circle"></div>
</div>

.items {
  width: 300px;
  height: 250px;
  position: relative;
  display: flex;
  align-items: center;
  flex-direction: column;
  justify-content: space-between;
  margin: 30px auto;
}

.big-circle {
  width: 120px;
  height: 120px;
  border-radius: 50%;
  background: red;
  position: absolute;
  top: 50%;
  left: 50%;
  transform: translate(-50%, -50%);
}

.smoll {
  width: 50px;
  height: 50px;
  border-radius: 50%;
  background: blue;
}

.item1,
.item2,
.item3 {
  display: flex;
  justify-content: space-between;
  align-items: center;
  width: 100%;
}

.item1,
.item3 {
  width: 70%;
}